Provider Demographics
NPI:1164535241
Name:NEWTON, DEAN (DO)
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:
Last Name:NEWTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3795 W BOYNTON BEACH BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-4502
Mailing Address - Country:US
Mailing Address - Phone:561-736-2001
Mailing Address - Fax:
Practice Address - Street 1:3795 W BOYNTON BEACH BLVD STE D
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-4502
Practice Address - Country:US
Practice Address - Phone:561-736-2001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB05524000207QG0300X, 207QA0505X, 207Q00000X
FLOS8714207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ161679Medicare UPIN
FLF34338Medicare UPIN
FLU0238YMedicare ID - Type UnspecifiedMEDICARE NUMBER