SOMA MEDICAL CENTER, PA #4
NPI 1568912699
Pediatrics in West Palm Beach, FL

Active since October 13, 2016CLIA 10D2050582 · Waiver
4623 FOREST HILL BLVD, SUITE 112, WEST PALM BEACH, FL 33415(561) 433-0080(561) 433-1668 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 2, 2021, Oct 13, 2016 (2 updates tracked since 2016).

About Soma Medical Center, Pa #4 NPPES

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

SOMA MEDICAL CENTER, PA #4 (NPI 1568912699) is a healthcare organization registered as a pediatrics in West Palm Beach, Florida and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Lina Niemczyk Niemczyk, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1568912699
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOMA MEDICAL CENTER, PA #4
Location Address4623 FOREST HILL BLVD, SUITE 112West Palm Beach, FL 33415-7469
Mailing Address4623 Forest Hill Blvd, Suite 112West Palm Beach, FL 33415-7469 · (561) 433-0080 · Fax (561) 433-1668
Fax(561) 433-1668
Organization SubpartYes
Authorized OfficialLina Niemczyk NiemczykOffice Manager · (561) 433-0080
Enumeration DateOctober 13, 2016
Last NPPES UpdateApril 2, 20212 updates tracked since enumeration
NPPES CertifiedApril 2, 2021
NPI 1568912699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in FL · ME102127
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4623 FOREST HILL BLVD, West Palm Beach, FL 33415

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2050582

Soma Medical Center PA #4 · West Palm Beach, FL
Active · expires Dec 2, 2026
CLIA Number10D2050582
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorMercedes G. Lopez
Laboratory Phone(561) 433-0080
Laboratory LocationSoma Medical Center PA #44623 Forest Hill Blvd Ste 112, West Palm Beach, FL 33415
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

Specialist
4623 FOREST HILL BLVD, SUITE 110
WEST PALM BEACH, FL 33415
Family Medicine
4623 FOREST HILL BLVD, SUITE 103
WEST PALM BEACH, FL 33415
Specialist
4623 FOREST HILL BLVD, SUITE 101
WEST PALM BEACH, FL 33415
Family Medicine
4623 FOREST HILL BLVD, SUITE 105
WEST PALM BEACH, FL 33415
Specialist
4623 FOREST HILL BLVD, SUITE 101
WEST PALM BEACH, FL 33415
Dentist
4623 FOREST HILL BLVD, SUITE 114
WEST PALM BEACH, FL 33415
Dentist
4623 FOREST HILL BLVD, SUITE 114
WEST PALM BEACH, FL 33415
Clinic/Center (Primary Care)
4623 FOREST HILL BLVD, SUITE 112
WEST PALM BEACH, FL 33415

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 Soma Medical Center, PA #4's NPI number?

The NPI number for Soma Medical Center, PA #4 is 1568912699. It was assigned to this organization in the NPPES registry on October 13, 2016.

Where is Soma Medical Center, PA #4 located?

Soma Medical Center, PA #4 is located at 4623 Forest Hill Blvd Suite 112, West Palm Beach, FL 33415. The listed phone number is (561) 433-0080.

What is Soma Medical Center, PA #4's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Soma Medical Center, PA #4 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2050582) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Soma Medical Center, PA #4 accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 5 other insurers list Soma Medical Center, PA #4 as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Soma Medical Center, PA #4 was last updated on April 2, 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.