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
- Last updated
- Feb 12, 2026
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.