Active NPI
Susan Laufer, MD
- Pediatrics Physician
- Boynton Beach, FL
National Provider Identifier
1417933292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME68294
- Practice address
- 10301 Hagen Ranch Rd
BLDG a., Suite 760
Boynton Beach, FL 33437-3724 - Phone
- (561) 733-4400
- Fax
- (561) 733-5004
- NPI assigned
- Dec 22, 2005
- Last updated
- May 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME68294 | FL | Primary |
Addresses
Primary practice location
10301 Hagen Ranch Rd
BLDG a., Suite 760
Boynton Beach, FL 33437-3724
Mailing address
900 S Pine Island Rd
Suite 800
Plantation, FL 33324-3920
Phone (561) 733-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 379376100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME68294 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pediatrics of Boca | Pediatrics | Past | Accepting new patients |
| FL-I Medical Services, LLC | Past | Accepting new patients | |
| Vitalmd Group Holding LLC | Pediatrics | Past | Accepting new patients |
| Saltzman, Tanis, Pittel, Levin and Jacobson | Pediatrics | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1780959643
-
dba Pediatric Associates
- Pediatrics Physician
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- NPI 1952519654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1417933292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S PINE ISLAND RD",
"address_2": "SUITE 800",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243920",
"telephone_number": "561-733-4400",
"fax_number": "561-733-5004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 HAGEN RANCH RD",
"address_2": "BLDG A., SUITE 760",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373724",
"telephone_number": "561-733-4400",
"fax_number": "561-733-5004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUFER",
"first_name": "SUSAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-22",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME68294",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "379376100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.