Active NPI
Scott David Fisch, DO
- Pediatrics Physician
- Boca Raton, FL
National Provider Identifier
1477555340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS2488
- Practice address
- 5458 Town Center Rd Ste 25
Boca Raton, FL 33486-1009 - Phone
- (561) 923-9635
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MB07336500 | NJ | |
| Pediatrics Physician | 208000000X | OS2488 | FL | Primary |
Addresses
Primary practice location
5458 Town Center Rd Ste 25
Boca Raton, FL 33486-1009
Mailing address
5458 Town Center Rd
Boca Raton, FL 33486-1089
Phone (561) 923-9635
Other practice location 1
8200 S Jog Rd Ste 203
Boynton Beach, FL 33472-2981
Phone (561) 327-4960
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS2488 | FL | MD | Pediatrics Physician |
| 25MB07336500 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vipediatrics, PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Boca Raton, FL
- NPI 1376094953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1477555340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5458 TOWN CENTER RD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334861089",
"telephone_number": "561-923-9635",
"fax_number": "561-923-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5458 TOWN CENTER RD STE 25",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334861009",
"telephone_number": "561-923-9635"
}
],
"practiceLocations": [
{
"address_1": "8200 S Jog Rd Ste 203",
"address_purpose": "LOCATION",
"city": "Boynton Beach",
"state": "FL",
"postal_code": "334722981",
"country_code": "US",
"telephone_number": "561-327-4960",
"fax_number": "561-738-1822",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISCH",
"first_name": "SCOTT",
"middle_name": "DAVID",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2026-02-12",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MB07336500",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "OS2488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.