Individual provider Active NPI

Paloma Nicole Reiter, DO

  • Dermatology Physician
  • Wellington, FL
National Provider Identifier
1427597863
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS15515 Issued in FL
Practice address
1447 Medical Park Blvd.
Ste 107
Wellington, FL 33414-3164
Phone
(561) 798-3494
NPI assigned
Feb 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS15515 FL Primary

Addresses

Primary practice location

1447 Medical Park Blvd.
Ste 107
Wellington, FL 33414-3164

Mailing address

1447 Medical Park Blvd.
Suite 107
Wellington, FL 33414
Phone (561) 798-3494

Other practice location 1

13660 S Jog Rd Ste 8
Delray Beach, FL 33446-3806
Phone (561) 637-4040

Other names 1

  • Paloma Nicole Reiter Ayala Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220709000581 FL Practitioner - Dermatology 5193105096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Derm Group LLPGroup PAC ID 9335478908, 32 clinicians

Practice addresses (Care Compare)

333 NW 70TH Ave
Suite 116
Plantation, FL 33317-2364
Phone (954) 371-2208

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision18
Removal of skin lesions309
Skin biopsy155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
The Derm Group LLP Dermatology CurrentSince Mar 1, 2026 Accepting new patients
Skin and Cancer Associates Dermatology CurrentSince Aug 1, 2022 Accepting new patients
Francisco Flores MD PA Dermatology Current Accepting new patients
Skin and Cancer Associates Dermatology PastSince Jun 30, 2024 Accepting new patients

Locations

13660 S Jog Rd
Ste 8
Delray Beach, FL 33446
Phone (561) 637-4040

1323 SE 4th Ave
Ft Lauderdale, FL 33316
Phone (954) 371-2208

2925 NE 199th St
Ste 205
Miami, FL 33180
Phone (305) 933-6716

11760 SW 40th St
Ste 451
Miami, FL 33175
Phone (305) 227-9233

14601 SW 29th St
Ste 206
Miramar, FL 33027
Phone (954) 885-5551

333 NW 70th Ave
Ste 116
Plantation, FL 33317
Phone (954) 371-2208

1560 Sawgrass Corporate Pkwy
Ste 220
Sunrise, FL 33323

11924 Forest Hill Blvd
Ste 10A411
Wellington, FL 33414

1447 Medical Park Blvd
Ste 107
Wellington, FL 33414
Phone (561) 798-3494

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00136
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00135

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1427597863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 MEDICAL PARK BLVD.",
            "address_2": "SUITE 107",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-798-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 MEDICAL PARK BLVD.",
            "address_2": "STE 107",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143164",
            "telephone_number": "561-798-3494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13660 S Jog Rd Ste 8",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334463806",
            "country_code": "US",
            "telephone_number": "561-637-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REITER",
        "first_name": "PALOMA",
        "middle_name": "NICOLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-17",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS15515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PALOMA",
            "last_name": "REITER AYALA",
            "middle_name": "NICOLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.