Adult and Pediatric Dermatology Practitioners P a

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ADULT AND PEDIATRIC DERMATOLOGY PRACTITIONERS P A

Practice address

8980 S US Highway 1 Ste 103
Port St Lucie, FL 34952-3482

Phone

(772) 446-9100

Fax

(772) 446-9810

NPI assigned

Jul 27, 2021

Last updated

Jul 27, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey T. Masessa

Title

President

Phone

(973) 625-0600

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Adult and Pediatric Dermatology Practitioners P a3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Adult and Pediatric Dermatology Practitioners P a

  • Specialist
  • Stuart, FL
  • NPI 1528731569
  NPD tax ID
• Adult and Pediatric Dermatology Practitioners P a

  • Specialist
  • Loxahatchee, FL
  • NPI 1568135507
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Ariel Marder, DNP

  • Family Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1154934149
  NPD
• Lynora A Curtis, D.O.

  • Dermatology Physician
  • Boynton Beach, FL
  • NPI 1730365099
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1417620469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 GREEN POND RD STE C",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662057",
            "telephone_number": "973-625-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8980 S US HIGHWAY 1 STE 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523482",
            "telephone_number": "772-446-9100",
            "fax_number": "772-446-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT AND PEDIATRIC DERMATOLOGY PRACTITIONERS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "MASESSA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-625-0600"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "MA851",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Essar Adejola, RN
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• Tagrid Adili, MD PA
• Adnan Shariff Inc
• Adult Activity Center of the Treasure Coast, Inc
• Advance Balance Alliance LLC
• Advance Plus Care Center LLC
• Advanced Audiology & Hearing AIDS, LLC
• Advanced Care Pediatrics of Florida, LLC (Angels of Care Pediatric Home Health)
• Advanced Care Pediatrics of Florida, LLC (Angels of Care Pediatric Home Health)

• Specialist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.