Organization Active NPI

Royal Palm Dermatology

  • Dermatology Physician
  • Boca Raton, FL
National Provider Identifier
1942380159
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME49848 Issued in FL
Legal business name
ROYAL PALM DERMATOLOGY
Practice address
1599 NW 9TH Avenue
Boca Raton, FL 33486
Phone
(561) 417-5004
Fax
(561) 417-7189
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tobi B Richman, MD
Title
MD Owner
Phone
(561) 417-5004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X ME49848 FL Primary

Addresses

Primary practice location

1599 NW 9TH Avenue
Boca Raton, FL 33486

Mailing address

1599 NW 9TH Avenue
Boca Raton, FL 33486
Phone (561) 417-5004

National Provider Directory

National Provider Directory

Locations

1599 NW 9th Ave
Ste 1
Boca Raton, FL 33486
Phone (561) 392-4558

1599 NW 9th Ave
Boca Raton, FL 33486
Phone (561) 338-8884

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942380159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 NW 9TH AVENUE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33486",
            "telephone_number": "561-417-5004",
            "fax_number": "561-417-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 NW 9TH AVENUE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33486",
            "telephone_number": "561-417-5004",
            "fax_number": "561-417-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL PALM DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHMAN",
        "authorized_official_first_name": "TOBI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "561-417-5004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME49848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.