Gomathy Mohan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME90824 Issued in FL

Practice address

11903 Southern Blvd
Ste 118
Royal Palm Beach, FL 33411-7644

Phone

(561) 429-5898

Fax

(561) 429-5897

NPI assigned

May 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Royal Palm Pediatrics Corp

  • Pediatrics Physician
  • Royal Palm Beach, FL
  • NPI 1932351368
  NPD Authorized official
• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1528016813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11903 SOUTHERN BLVD",
            "address_2": "STE 118",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334117644",
            "telephone_number": "561-429-5898",
            "fax_number": "561-429-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11903 SOUTHERN BLVD",
            "address_2": "STE 118",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334117644",
            "telephone_number": "561-429-5898",
            "fax_number": "561-429-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "GOMATHY",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME90824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273853800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Mitchell, MS SLP-CCC
• Lilian Parreiras Mitton, APRN, NNP-BC
• Mode of Care Services
• Hollie Debra Moffett, ARNP
• Mohammad T Javed MD.PA
• Stephane Lalou Momplaisir Saint-Jean
• Eric Monahan, P.T.A. / L.M.T
• Elena L. Monks, OD
• Katia Montes
• Montesol Medical Centers LLC

• Pediatrics Physician in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.