Individual provider Active NPI

Andrei P Gherghina, DO, MS

  • MOHS-Micrographic Surgery Physician
  • Boynton Beach, FL
National Provider Identifier
1508225947
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
OS14108 Issued in FL
Practice address
10151 Enterprise Ctr Ste 204
Boynton Beach, FL 33437-3761
Phone
(561) 405-3000
Fax
(561) 459-1444
NPI assigned
Feb 13, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X UO4347 FL
Dermatology Physician 207N00000X OS14108 FL
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X OS14108 FL Primary

Addresses

Primary practice location

10151 Enterprise Ctr Ste 204
Boynton Beach, FL 33437-3761

Mailing address

10151 Enterprise Ctr Ste 204
Boynton Beach, FL 33437-3761
Phone (561) 405-3000

Other identifiers 1

IdentifierTypeStateIssuer
JN916OtherFLPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161029000317 FL Practitioner - Dermatology 1658659453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oceans Dermatology LLCGroup PAC ID 5799020822, 2 clinicians
Waterway Dermatology PLLCGroup PAC ID 5799116588, 5 clinicians

Practice addresses (Care Compare)

10151 Enterprise Ctr
Suite 204
Boynton Beach, FL 33437-3761
Phone (561) 405-3000

20 Waterway Rd
Tequesta, FL 33469-2418
Phone (561) 926-6150

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions366
Removal of skin cancer172
Removal or shaving of skin growth1-10
Skin biopsy155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Science

State licenses

LicenseStateTypeSpecialty
OS14108FLMDDermatology Physician
UO4347FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oceans Dermatology, LLC Single Specialty CurrentSince Jun 7, 2018 Accepting new patients
Waterway Dermatology PLLC Single Specialty CurrentSince Jul 1, 2022 Accepting new patients

Locations

10151 Entrprs Cntr Blvd
Ste 204
Boynton Beach, FL 33437
Phone (561) 405-3000

1050 SE Monterey Rd
Ste 302
Stuart, FL 34994
Phone (561) 926-6150

20 Waterway Rd
Tequesta, FL 33469
Phone (561) 926-6150

177 N US Highway 1
Tequesta, FL 33469
Phone (561) 401-6717

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1455321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1508225947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CTR STE 204",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373761",
            "telephone_number": "561-405-3000",
            "fax_number": "561-459-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CTR STE 204",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373761",
            "telephone_number": "561-405-3000",
            "fax_number": "561-459-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHERGHINA",
        "first_name": "ANDREI",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DO, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-13",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "UO4347",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS14108",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "OS14108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "JN916",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.