Active NPI
Dermatology Center of the Palm Beaches PA
- Dermatology Physician
- Lake Worth, FL
National Provider Identifier
1497359426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- DERMATOLOGY CENTER OF THE PALM BEACHES PA
- Practice address
- 5808 S Jog Rd
Lake Worth, FL 33467-6511 - Phone
- (561) 968-7546
- Fax
- (561) 968-1143
- NPI assigned
- Nov 30, 2020
- Last updated
- Sep 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin Shecter, DO
- Title
- President
- Phone
- (561) 968-7546
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| MOHS-Micrographic Surgery Physician | 207ND0101X | |||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
5808 S Jog Rd
Lake Worth, FL 33467-6511
Mailing address
5808 S Jog Rd
Lake Worth, FL 33467-6511
Phone (561) 968-7546
Other practice location 1
715 W Boynton Beach Blvd Ste C
Boynton Beach, FL 33426-3625
Phone (561) 968-7546
Other practice location 2
1100 S Federal Hwy Ste 100
Deerfield Beach, FL 33441-7000
Phone (954) 943-9670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2006833 | Dermatology Center of the Palm Beaches | Compliance | Aug 22, 2026 |
National Provider Directory
National Provider DirectoryLocations
5808 S Jog Rd
Lake Worth, FL 33467
Phone (561) 968-7546
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Lake Worth, FL
- NPI 1003811647
-
- Dermatology Physician
- Pinellas Park, FL
- NPI 1518385475
-
- Physician Assistant
- Lake Worth, FL
- NPI 1154199479
-
- Physician Assistant
- West Palm Beach, FL
- NPI 1386717155
-
- Physician Assistant
- Lake Worth, FL
- NPI 1295414761
-
- Surgical Physician Assistant
- Lake Worth, FL
- NPI 1861541096
-
- Foot & Ankle Surgery Podiatrist
- Boynton Beach, FL
- NPI 1235153321
-
- Dermatology Physician
- Hialeah, FL
- NPI 1639798184
-
- Nurse Practitioner
- Sarasota, FL
- NPI 1689992471
-
- Medical Physician Assistant
- New York, NY
- NPI 1801219670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727308800000",
"number": "1497359426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5808 S JOG RD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334676511",
"telephone_number": "561-968-7546",
"fax_number": "561-968-1143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5808 S JOG RD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334676511",
"telephone_number": "561-968-7546",
"fax_number": "561-968-1143"
}
],
"practiceLocations": [
{
"address_1": "715 W Boynton Beach Blvd Ste C",
"address_purpose": "LOCATION",
"city": "Boynton Beach",
"state": "FL",
"postal_code": "334263625",
"country_code": "US",
"telephone_number": "561-968-7546",
"fax_number": "561-968-1143",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 S Federal Hwy Ste 100",
"address_purpose": "LOCATION",
"city": "Deerfield Beach",
"state": "FL",
"postal_code": "334417000",
"country_code": "US",
"telephone_number": "954-943-9670",
"fax_number": "954-943-9671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DERMATOLOGY CENTER OF THE PALM BEACHES PA",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-30",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A",
"authorized_official_last_name": "SHECTER",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-968-7546",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.