Individual provider Active NPI

Lawrence Jacob Enisman, M.D.

  • Plastic Surgery Physician
  • Delray Beach, FL
National Provider Identifier
1669440038
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
143464-1 Issued in NY
Practice address
16313 Braeburn Ridge TRL
Delray Beach, FL 33446-9528
Phone
(845) 489-8242
NPI assigned
Mar 10, 2006
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 143464-1 NY Primary

Addresses

Primary practice location

16313 Braeburn Ridge TRL
Delray Beach, FL 33446-9528

Mailing address

16313 Braeburn Ridge TRL
Delray Beach, FL 33446-9528
Phone (845) 489-8242

Other practice location 1

6140 Atlantic Ave
Delray Beach, FL 33484-8409
Phone (561) 498-4407

Other identifiers 1

IdentifierTypeStateIssuer
00841676MedicaidNY

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
I20201118000980 FL Practitioner - Plastic and Reconstructive Surgery 4688627730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
New York Medical College, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Feinstein Medical, LLCGroup PAC ID 1850467853, 7 clinicians

Practice addresses (Care Compare)

6140 Atlantic Ave
Delray Beach, FL 33484-8409
Phone (561) 498-4407

Merit-based Incentive Payment System (MIPS)

Final score
86.99 of 100Reported as group
Quality
91.37
Improvement activities
40
Cost
68.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision90
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
143464-1NYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Feinstein Medical LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

6140 Atlantic Ave
Delray Beach, FL 33484
Phone (561) 498-4407

Interoperability endpoints

  • Direct secure messaging: lenisman@feinsteinderm.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1669440038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16313 BRAEBURN RIDGE TRL",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334469528",
            "telephone_number": "845-489-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16313 BRAEBURN RIDGE TRL",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334469528",
            "telephone_number": "845-489-8242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6140 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334848409",
            "country_code": "US",
            "telephone_number": "561-498-4407",
            "fax_number": "561-498-4480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENISMAN",
        "first_name": "LAWRENCE",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "143464-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00841676",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.