PBD&P Inc

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

Legal business name

PBD&P INC

Practice address

4475 Medical Center Way
Suite 2
West Palm Beach, FL 33407-3240

Phone

(561) 840-0995

Fax

(561) 840-0661

NPI assigned

Feb 23, 2006

Organization subpart

No

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

Authorized official

Name

Daniel O Sokoloff, M.D.

Title

President

Phone

(561) 840-0995

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• PALM BEACH DERMATOLOGY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://pbd.mmi.prod.fhir.ema-api.com/fhir/r4/

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea F. Chen, M.D.

  • MOHS-Micrographic Surgery Physician
  • Lake Worth, FL
  • NPI 1679745657

  Dermatology

  Medicare reassignment Care Compare group NPD
• Ellis J Gottesfeld, MD

  • Dermatology Physician
  • Boynton Beach, FL
  • NPI 1255356119
  Medicare reassignment Care Compare group NPD
• Peggy O Hunter, MD

  • Dermatology Physician
  • Lake Worth, FL
  • NPI 1962477463
  Medicare reassignment Care Compare group NPD
• Bridgit Nolan, MD

  • Dermatology Physician
  • Delray Beach, FL
  • NPI 1801117338
  Medicare reassignment Care Compare group NPD
• Rachel Fayne, MD

  • Dermatology Physician
  • Ann Arbor, MI
  • NPI 1043833544

  FL

  Medicare reassignment Care Compare group NPD
• Larry Kenneth Cohen, MD

  • Dermatology Physician
  • West Palm Beach, FL
  • NPI 1780684787
  Medicare reassignment Care Compare group
• Scott Fayne, MD

  • Dermatology Physician
  • Jupiter, FL
  • NPI 1982674446
  Medicare reassignment Care Compare group
• Ariella Jeanine Garmizo

  • Physician Assistant
  • Port St Lucie, FL
  • NPI 1073115184
  Medicare reassignment Care Compare group
• Larisa Coye Kelley, M.D.

  • MOHS-Micrographic Surgery Physician
  • West Palm Beach, FL
  • NPI 1407924558
  Medicare reassignment Care Compare group
• Sowmya Iyer Kishor, M.D.

  • Dermatology Physician
  • West Palm Beach, FL
  • NPI 1326288721
  Medicare reassignment Care Compare group
• John Paul Kowalczyk, M.D.

  • Dermatology Physician
  • Jupiter, FL
  • NPI 1477870459
  Medicare reassignment Care Compare group
• Brian Bernard Lambert, PA C

  • Physician Assistant
  • Lake Worth, FL
  • NPI 1346214251
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1689640328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 MEDICAL CENTER WAY",
            "address_2": "SUITE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073240",
            "telephone_number": "561-840-0995",
            "fax_number": "561-840-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 MEDICAL CENTER WAY",
            "address_2": "SUITE 2",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073240",
            "telephone_number": "561-840-0995",
            "fax_number": "561-840-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBD&P INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "SOKOLOFF",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-840-0995",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "21482",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALM BEACH DERMATOLOGY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Megan N Pearce, DC

• Dermatopathology Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Dermatopathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.