Group M Dermatology PA

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

GROUP M DERMATOLOGY PA

Practice address

2101 S US Highway 1
Jupiter, FL 33477-7321

Phone

(561) 748-0510

Fax

(561) 748-0598

NPI assigned

Aug 23, 2016

Organization subpart

No

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

Authorized official

Name

Ricardo Mejia, MDNPI 1467444943

Title

Owner/Physician

Phone

(561) 748-0510

Specialties & licenses 2

Addresses

Other names 1

• JUPITER DERMATOLOGY & HAIR RESTORATION Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricardo Mejia, M.D.

  • MOHS-Micrographic Surgery Physician
  • Jupiter, FL
  • NPI 1467444943
  Medicare reassignment Care Compare group NPD Authorized official
• Luciana Takata Pontes Arruda, MD, MSC

  • MOHS-Micrographic Surgery Physician
  • Jupiter, FL
  • NPI 1093603458

  Dermatology

  Medicare reassignment Care Compare group NPD
• Marie Susan Wagener, D.O.

  • Dermatology Physician
  • Allentown, PA
  • NPI 1104054923

  FL

  Medicare reassignment Care Compare group NPD
• Allison Kaye Rayner, PA-C

  • Physician Assistant
  • Jupiter, FL
  • NPI 1275907446
  Medicare reassignment Care Compare group
• Ashley Syler, PA

  • Physician Assistant
  • Jupiter, FL
  • NPI 1659611044
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1467907105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919832",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328919539",
            "telephone_number": "561-748-0510",
            "fax_number": "561-748-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S US HIGHWAY 1",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334777321",
            "telephone_number": "561-748-0510",
            "fax_number": "561-748-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP M DERMATOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "561-748-0510",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUPITER DERMATOLOGY & HAIR RESTORATION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JUPITER DERMATOLOGY & HAIR RESTORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ken K Grey, D.O.M.
• Meaghan Jewel Griffin, BSN, RN
• Jaidalyn Gromadzki
• Shifra Leah Gross, PSY.D.
• Siobhan McRostie Gross, RN, BSN, CDE
• Grubbs & Grubbs Inc
• Laura Lee Gruenwald, MASSAGE THERAPIST
• Ailen Guash Reyes
• Joseph M Guastamacchia, PA-C
• Lourdes Eva Guerra, LCSW

• MOHS-Micrographic Surgery Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.