ATLANTIC DERM PLLC
NPI 1962972992
Dermatology - Procedural Dermatology in Delray Beach, FL
About Atlantic Derm Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATLANTIC DERM PLLC (NPI 1962972992) is a healthcare organization registered as a procedural dermatology in Delray Beach, Florida and active in the NPI registry since December 2018. The organization lists Yvette Tivoli, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Atlantic Derm Pllc 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 Atlantic Derm PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Delray Beach, FL 33484
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 Atlantic Derm PLLC's NPI number?
The NPI number for Atlantic Derm PLLC is 1962972992. It was assigned to this organization in the NPPES registry on December 3, 2018.
Where is Atlantic Derm PLLC located?
Atlantic Derm PLLC is located at 16244 S Military Trl Ste 490, Delray Beach, FL 33484. The listed phone number is (561) 802-7546.
What is Atlantic Derm PLLC's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.
Is Atlantic Derm PLLC enrolled in Medicare?
Yes. Atlantic Derm PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Atlantic Derm PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Atlantic Derm PLLC. 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 Atlantic Derm PLLC was last updated on December 3, 2018. 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.
# Atlantic Derm Pllc · NPI 1962972992
Procedural Dermatology organization in Delray Beach, Florida. Organization record, active in the CMS NPPES registry since December 3, 2018.
## Identity
- **NPI:** 1962972992 (Entity type: Organization)
- **Enumerated:** December 3, 2018
- **Primary specialty:** Dermatology - Procedural Dermatology · taxonomy 207NS0135X
- **Organization subpart:** No
- **Authorized official:** Yvette Tivoli, OWNER
## Practice location
- **Address:** 16244 S MILITARY TRL STE 490, Delray Beach, FL 33484-6532
- **Phone:** (561) 802-7546
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 3, 2018
- **Other identifiers:** Other OS10758 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1962972992) · Data from the CMS NPPES public registry.