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ADULT AND PEDIATRIC DERMATOLOGY PRACTITIONERS P A
NPI 1568135507
Specialist in Loxahatchee, FL

Active since July 27, 2021
13005 SOUTHERN BLVD STE 224, LOXAHATCHEE, FL 33470(561) 793-2929(561) 790-7568 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Adult And Pediatric Dermatology Practitioners P A NPPES

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

ADULT AND PEDIATRIC DERMATOLOGY PRACTITIONERS P A (NPI 1568135507) is a healthcare organization registered as a specialist in Loxahatchee, Florida and active in the NPI registry since July 2021. The organization lists Jeffrey T. Masessa, President, as its authorized official.

NPPES Registry Identity

NPI1568135507
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameADULT AND PEDIATRIC DERMATOLOGY PRACTITIONERS P A
Location Address13005 SOUTHERN BLVD STE 224Loxahatchee, FL 33470-9272
Mailing Address35 Green Pond Rd Ste CRockaway, NJ 07866-2057 · (973) 625-0600
Phone(561) 793-2929
Fax(561) 790-7568
Organization SubpartNo
Authorized OfficialJeffrey T. MasessaPresident · (973) 625-0600
Enumeration DateJuly 27, 2021
NPPES CertifiedJuly 27, 2021
✔ NPI 1568135507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
13005 SOUTHERN BLVD STE 224, Loxahatchee, FL 33470
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Other Identifiers 1

OtherMA851FL · Medicare

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARMEN MARIA MARRERO D.O.
Family Medicine
13005 SOUTHERN BLVD STE 224
LOXAHATCHEE, FL 33470
Palm Beach County (561) 318-6158
SARA ELIZABETH GELLER ARNP
Nurse Practitioner (Family)
13005 SOUTHERN BLVD STE 224
LOXAHATCHEE, FL 33470
Palm Beach County (561) 318-6158

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 Adult And Pediatric Dermatology Practitioners P A's NPI number?

The NPI number for Adult And Pediatric Dermatology Practitioners P A is 1568135507. It was assigned to this organization in the NPPES registry on July 27, 2021.

Where is Adult And Pediatric Dermatology Practitioners P A located?

Adult And Pediatric Dermatology Practitioners P A is located at 13005 Southern Blvd Ste 224, Loxahatchee, FL 33470. The listed phone number is (561) 793-2929.

What is Adult And Pediatric Dermatology Practitioners P A's specialty?

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

When was this NPI record last updated?

The NPPES record for Adult And Pediatric Dermatology Practitioners P A was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.