Active NPI
Andrei P Gherghina, DO, MS
- MOHS-Micrographic Surgery Physician
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- OS14108
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | UO4347 | FL | |
| Dermatology Physician | 207N00000X | OS14108 | FL | |
| MOHS-Micrographic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JN916 | Other | FL | PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 13 |
| Removal of skin lesions | 366 |
| Removal of skin cancer | 172 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 155 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS14108 | FL | MD | Dermatology Physician |
| UO4347 | FL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oceans Dermatology, LLC | Single Specialty | Current | Accepting new patients |
| Waterway Dermatology PLLC | Single Specialty | Current | 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.
-
- MOHS-Micrographic Surgery Physician
- Boynton Beach, FL
- NPI 1013401710
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.