Dermatology of Century Village WPB LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY OF CENTURY VILLAGE WPB LLC

Practice address

1840 Forest Hill Blvd Ste 102
West Palm Beach, FL 33406-6055

Phone

(561) 964-6664

NPI assigned

Nov 21, 2006

Last updated

Jan 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Queen

Title

Manager

Phone

(561) 314-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen Bernadette Herne, MD

  • Dermatology Physician
  • West Palm Beach, FL
  • NPI 1871565648
  Medicare reassignment Care Compare group NPD
• Andrei Nesterovitch, M.D.

  • Dermatology Physician
  • West Palm Beach, FL
  • NPI 1326333253
  Medicare reassignment Care Compare group NPD
• Stefanie Marie Indellicati, PA-C

  • Physician Assistant
  • West Palm Beach, FL
  • NPI 1285188219
  Medicare reassignment Care Compare group
• Jeffrey Stuart Fromowitz, MD

  • Dermatology Physician
  • Boca Raton, FL
  • NPI 1265449003
  NPD (past)
• Ferdinand Christopher Manlio, DO

  • Dermatology Physician
  • Kissimmee, FL
  • NPI 1669444113
  NPD (past)
• Adam S Plotkin, MD

  • Dermatology Physician
  • Delray Beach, FL
  • NPI 1306896105
  NPD (past)
• Jason Paul Stein, MD

  • Pediatrics Physician
  • Lake Worth, FL
  • NPI 1578564829
  NPD (past)
• Ronnit Hamuy Stein, M.D.

  • Dermatology Physician
  • Delray Beach, FL
  • NPI 1932159092
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1730254400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-314-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 FOREST HILL BLVD STE 102",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066055",
            "telephone_number": "561-964-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY OF CENTURY VILLAGE WPB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "QUEEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-314-2000"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Valerie Derilus
• Milange Deristile, BSW
• Francesca Derius, ARNP
• Derma Medical Group Inc
• Dermatology Associates of the Palm Beaches PLLC
• Dermatology of Palm Beach PLLC
• Dermnow PA
• Maryann Slater Dernlan
• Karen Derogatis
• Deronceler,LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.