Individual provider Active NPI

John C Perrotto, D.O.

  • Dermatology Physician
  • Atlantic Beach, FL
National Provider Identifier
1659538809
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
3889 Issued in IA
Practice address
1505 Park Ter E
Atlantic Beach, FL 32233-5534
Phone
(561) 254-0787
NPI assigned
May 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 3889 IA Primary

Addresses

Primary practice location

1505 Park Ter E
Atlantic Beach, FL 32233-5534

Mailing address

1505 Park Ter E
Atlantic Beach, FL 32233-5534
Phone (561) 254-0787

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
I20090903000562 FL Practitioner - Dermatology 9335211465 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of New England, College of Osteo Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shauna Kranendonk,, LLCGroup PAC ID 6103821608, 4 clinicians
Aqua Dermatology of Florida, PAGroup PAC ID 1153390414, 184 clinicians
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

224 Chimney Corner Lane
Suite 3002
Jupiter, FL 33458-4802
Phone (561) 820-0155

261 9TH St S
Naples, FL 34102-6258
Phone (239) 216-4337

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

6550 N Federal Hwy
Suite 320
Fort Lauderdale, FL 33308-1400
Phone (954) 500-7546

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision370
Removal of tissue1-10
Removal of skin lesions27
Removal of skin cancer1972
Removal of nail tissue1-10
Skin biopsy16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3889IAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Dermatology CurrentSince Oct 1, 2014 Accepting new patients
Water'S Edge Dermatology, LLC CurrentSince Nov 21, 2019 Accepting new patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Jan 1, 2022 Accepting new patients
Eli Cohen MD, PA Dermatology CurrentSince Jun 5, 2016 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Oct 18, 2021 Accepting new patients
Aqua Dermatology of Florida, PA Dermatology CurrentSince Jan 1, 2022 Accepting new patients
Shauna Kranendonk LLC CurrentSince Nov 13, 2012 Accepting new patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Water'S Edge Dermatology, LLC Dermatology CurrentSince Nov 21, 2019 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Oct 18, 2021 Accepting new patients

Locations

6290 Linton Blvd
Ste 201
Delray Beach, FL 33484
Phone (561) 495-1337

5101 Okeechobee Rd
Fort Pierce, FL 34947
Phone (772) 595-5995

6550 N Federal Hwy
Ste 320
Ft Lauderdale, FL 33308
Phone (954) 491-0510

224 Chimney Corner Ln
Apt 3002
Jupiter, FL 33458
Phone (561) 820-0155

6250 Lantana Rd
Ste 9
Lake Worth, FL 33463
Phone (561) 578-8100

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

3659 S Miami Ave
Ste 6008
Miami, FL 33133
Phone (305) 854-5432

1108 Goodlette Rd
Naples, FL 34102
Phone (239) 262-1080

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

261 9th St S
Naples, FL 34102
Phone (239) 216-4337

14840 Tamiami Trl
North Port, FL 34287
Phone (941) 564-1542

301 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 357-0039

600 Village Square Xing
Palm Beach Gardens, FL 33410
Phone (561) 693-0540

2845 Pga Blvd
Palm Beach Gardens, FL 33410
Phone (561) 693-0540

2202 State Ave
Ste 102
Panama City, FL 32405
Phone (850) 250-5790

2426 S Tamiami Trl
Sarasota, FL 34239
Phone (507) 398-2753

264 NW Peacock Blvd
Ste 201
St Lucie West, FL 34986
Phone (772) 323-2321

3319 S State Road 7
Ste 110
Wellington, FL 33449
Phone (561) 784-7884

3400 Forest Hill Blvd
West Palm Beach, FL 33406
Phone (561) 357-5636

2685 Forest Hill Blvd
West Palm Beach, FL 33406
Phone (561) 463-5704

38162 Medical Center Ave
Zephyrhills, FL 33540
Phone (813) 782-2165

Bin 88617
Milwaukee, WI 53288

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jperrotto@aquadermatology.emadirect.md
  • Direct secure messaging: john.perrotto@forefrontdermatology.emadirect.md

Organizations & group practices 10

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1659538809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 PARK TER E",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322335534",
            "telephone_number": "561-254-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 PARK TER E",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322335534",
            "telephone_number": "561-254-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERROTTO",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "3889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Beach, FL

Sources for this page

Verify at the official NPI Registry.