NPIMap

Organization Active NPI

Layne D. Nisenbaum, DO, PA

  • Dermatology Physician
  • Palm Beach, FL
National Provider Identifier
1508172594
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS0006028 Issued in FL
Legal business name
LAYNE D. NISENBAUM, DO, PA
Practice address
50 Cocoanut Row
Suite #120
Palm Beach, FL 33480-4025
Phone
(561) 832-1950
Fax
(561) 832-1926
NPI assigned
Aug 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Authorized official

Name
Dr. Layne David Nisenbaum, D.O.
Title
Owner/Provider
Phone
(561) 832-1950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X OS0006028 FL Primary

Addresses

Primary practice location

50 Cocoanut Row
Suite #120
Palm Beach, FL 33480-4025

Mailing address

50 Cocoanut Row
Suite #120
Palm Beach, FL 33480-4025
Phone (561) 832-1950

National Provider Directory

National Provider Directory

Locations

50 Cocoanut Row
Ste 120
Palm Beach, FL 33480
Phone (561) 832-1950

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1508172594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COCOANUT ROW",
            "address_2": "SUITE #120",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804025",
            "telephone_number": "561-832-1950",
            "fax_number": "561-832-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 COCOANUT ROW",
            "address_2": "SUITE #120",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804025",
            "telephone_number": "561-832-1950",
            "fax_number": "561-832-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAYNE D. NISENBAUM, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "NISENBAUM",
        "authorized_official_first_name": "LAYNE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "561-832-1950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS0006028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.