Adult and Pediatric Dermatology Practitioners P a

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ADULT AND PEDIATRIC DERMATOLOGY PRACTITIONERS P A

Practice address

715 W Boynton Beach Blvd
Suite C
Boynton Beach, FL 33426-3625

Phone

(561) 364-2626

Fax

(561) 364-2029

NPI assigned

Mar 22, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey T. Masessa

Title

President

Phone

(973) 625-0600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Robyn Ivy Burres, PA-C

  • Physician Assistant
  • Delray Beach, FL
  • NPI 1386844322
  NPD (past)
• Lynora A Curtis, D.O.

  • Dermatology Physician
  • Boynton Beach, FL
  • NPI 1730365099
  NPD (past)
• Monika Srivastava, M.D.

  • MOHS-Micrographic Surgery Physician
  • Vero Beach, FL
  • NPI 1437117058
  NPD (past)
• Peter Rome Bendetson, MD

  • Specialist
  • Brookline, MA
  • NPI 1811956329
  NPD (past)

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1487613907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 GREEN POND RD STE C",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662057",
            "telephone_number": "973-625-0600",
            "fax_number": "973-625-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W BOYNTON BEACH BLVD",
            "address_2": "SUITE C",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263625",
            "telephone_number": "561-364-2626",
            "fax_number": "561-364-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT AND PEDIATRIC DERMATOLOGY PRACTITIONERS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "MASESSA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-625-0600"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "MA851",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betty Admette
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• Stephanie Adorno
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• Advance Senior Care Assistants Inc
• Advance Therapy Systems, LLC
• Advanced Cancer Surgery and Digestive Health LLC
• Advanced Geriatric & Internal Medicine, P.L.

• Specialist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.