Active NPI
Paul F Rockley, MD
- Dermatology Physician
- North Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME0056806
- Practice address
- 17101 NE 19TH Ave
Suite 101
North Miami Beach, FL 33162-3159 - Phone
- (305) 940-7766
- Fax
- (305) 940-4617
- NPI assigned
- Aug 1, 2006
- Last updated
- Jul 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME0056806 | FL | Primary |
Addresses
Primary practice location
17101 NE 19TH Ave
Suite 101
North Miami Beach, FL 33162-3159
Mailing address
17101 NE 19TH Ave
Suite 101
North Miami Beach, FL 33162-3159
Phone (305) 940-7766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264506800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Chicago College of Medicine and Surgery, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17101 NE 19TH Ave
Suite 101
North Miami Beach, FL 33162-3159
Phone (305) 940-7766
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 80 |
| Removal of skin lesions | 1082 |
| Removal of skin cancer | 94 |
| Skin biopsy | 429 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0056806 | FL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul F. Rockley M.D. P.a | Dermatology | Current | Accepting new patients |
Locations
17101 NE 19th Ave
Ste 101
North Miami Beach, FL 33162
Phone (305) 940-7766
Networks
- FL HMO
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- FL HMO D-SNP
- FL HMO C-SNP
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- North Miami Beach, FL
- NPI 1336333178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185235200000",
"number": "1003823253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17101 NE 19TH AVE",
"address_2": "SUITE 101",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331623159",
"telephone_number": "305-940-7766",
"fax_number": "305-940-4617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17101 NE 19TH AVE",
"address_2": "SUITE 101",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331623159",
"telephone_number": "305-940-7766",
"fax_number": "305-940-4617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCKLEY",
"first_name": "PAUL",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME0056806",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264506800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.