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DERMATOLOGY OF CENTURY VILLAGE WPB LLC
NPI 1730254400
Dermatology in West Palm Beach, FL

Active since November 21, 2006CLIA 10D1081566 · Certificate of Compliance
1840 FOREST HILL BLVD STE 102, WEST PALM BEACH, FL 33406(561) 964-6664 Get Directions Write a Review

NPPES record last updated: January 11, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dermatology Of Century Village Wpb Llc NPPES

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

DERMATOLOGY OF CENTURY VILLAGE WPB LLC (NPI 1730254400) is a healthcare organization registered as a dermatology in West Palm Beach, Florida and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 13, 2028 and lists Andrew Queen, Manager, as its authorized official.

NPPES Registry Identity

NPI1730254400
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY OF CENTURY VILLAGE WPB LLC
Location Address1840 FOREST HILL BLVD STE 102West Palm Beach, FL 33406-6055
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 314-2000
Phone(561) 964-6664
Organization SubpartNo
Authorized OfficialAndrew QueenManager · (561) 314-2000
Enumeration DateNovember 21, 2006
Last NPPES UpdateJanuary 11, 2019
✔ NPI 1730254400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1840 FOREST HILL BLVD STE 102, West Palm Beach, FL 33406
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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

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL).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 Compliance 10D1081566

Dermatology Of Century Village Wpb LLC · West Palm Beach, FL
Active · expires May 13, 2028
CLIA Number10D1081566
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorDr. Andrei Nesterovitch
Laboratory Phone(561) 964-6664
Laboratory LocationDermatology Of Century Village Wpb LLC603 Village Blvd Suite 201, West Palm Beach, FL 33409
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

DR. ANDREI NESTEROVITCH M.D.
Dermatology
1840 FOREST HILL BLVD STE 102
WEST PALM BEACH, FL 33406
Palm Beach County (561) 964-6664

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 Of Century Village Wpb LLC's NPI number?

The NPI number for Dermatology Of Century Village Wpb LLC is 1730254400. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is Dermatology Of Century Village Wpb LLC located?

Dermatology Of Century Village Wpb LLC is located at 1840 Forest Hill Blvd Ste 102, West Palm Beach, FL 33406. The listed phone number is (561) 964-6664.

What is Dermatology Of Century Village Wpb LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Dermatology Of Century Village Wpb LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D1081566) is associated with this NPI, valid through May 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatology Of Century Village Wpb LLC accept?

Health plans from AvMed and Florida Blue (BlueCross BlueShield FL) list Dermatology Of Century Village Wpb LLC 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 Dermatology Of Century Village Wpb LLC was last updated on January 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.