DERMATOLOGY CLINIC, PA
NPI 1295890853
Specialist in Boca Raton, FL

Active since December 26, 2006
880 NW 13TH ST, SUITE 3B, BOCA RATON, FL 33486(561) 393-0300(561) 393-0048 Get Directions Write a Review

NPPES record last updated: November 23, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dermatology Clinic, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY CLINIC, PA (NPI 1295890853) is a healthcare organization registered as a specialist in Boca Raton, Florida and active in the NPI registry since December 2006. The organization lists Stella D Calobrisi, Director, as its authorized official.

NPPES Registry Identity

NPI1295890853
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMATOLOGY CLINIC, PA
Location Address880 NW 13TH ST, SUITE 3BBoca Raton, FL 33486-2342
Mailing Address880 Nw 13th St, Suite 3bBoca Raton, FL 33486-2342 · (561) 393-0300 · Fax (561) 393-0048
Fax(561) 393-0048
Organization SubpartNo
Authorized OfficialStella D CalobrisiDirector · (561) 393-0300
Enumeration DateDecember 26, 2006
Last NPPES UpdateNovember 23, 2010
✔ NPI 1295890853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · 78997
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
880 NW 13TH ST, Boca Raton, FL 33486

Other Identifiers 7

Other115370PA · Blue Shield Penn Number
Other1891717898FL · Npi Individual Number
Other49480ZFL · Medicare Individual
Medicare UPING03538FL
Medicare ID-Type UnspecifiedK1433FL · Medicare Group Number
Other78997FL · Florida License Number
Other49480FL · Fl Blue Shield Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology Clinic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dermatology Clinic, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1891717898
880 NW 13TH ST SUITE 3B
Boca Raton, FL 33486
(561) 393-0300
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatology Clinic, PA's NPI number?

The NPI number for Dermatology Clinic, PA is 1295890853. It was assigned to this organization in the NPPES registry on December 26, 2006.

Where is Dermatology Clinic, PA located?

Dermatology Clinic, PA is located at 880 NW 13th St Suite 3B, Boca Raton, FL 33486. The listed phone number is (561) 393-0300.

What is Dermatology Clinic, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Dermatology Clinic, PA enrolled in Medicare?

Yes. Dermatology Clinic, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology Clinic, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Dermatology Clinic, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dermatology Clinic, PA was last updated on November 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.