Advancements in Dermatology PL

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME72007 Issued in FL

Legal business name

ADVANCEMENTS IN DERMATOLOGY PL

Practice address

7730 Boynton Beach Blvd
Suite 4
Boynton Beach, FL 33437-6155

Phone

(561) 572-0299

Fax

(561) 572-2596

NPI assigned

Jan 23, 2007

Last updated

Oct 28, 2013By 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

Dr. Ellis J Gottesfeld, MDNPI 1255356119

Title

President

Phone

(561) 572-0299

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Ellis J Gottesfeld, MD

  • Dermatology Physician
  • Boynton Beach, FL
  • NPI 1255356119
  Authorized official Same address or phone

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1972657948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 BOYNTON BEACH BLVD",
            "address_2": "SUITE 4",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376155",
            "telephone_number": "561-572-0299",
            "fax_number": "561-572-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 BOYNTON BEACH BLVD",
            "address_2": "SUITE 4",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376155",
            "telephone_number": "561-572-0299",
            "fax_number": "561-572-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCEMENTS IN DERMATOLOGY PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "GOTTESFELD",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-572-0299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME72007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Boynton Beach, FL
• Providers in Boynton 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 Oct 28, 2013; 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.