Active NPI
Melanie W. Rotenberg, MD, PA
- Physical Medicine & Rehabilitation Physician
- Palm Bay, FL
National Provider Identifier
1003933854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- ME65926
- Legal business name
- MELANIE W. ROTENBERG, MD, PA
- Practice address
- 4650 Lipscomb St NE
Suite 25
Palm Bay, FL 32905-2997 - Phone
- (321) 676-2008
- Fax
- (321) 327-2848
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melanie Wachtel Rotenberg, M.D.
- Title
- President
- Phone
- (321) 676-2008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | ME65926 | FL | Primary |
Addresses
Primary practice location
4650 Lipscomb St NE
Suite 25
Palm Bay, FL 32905-2997
Mailing address
PO Box 61327
Palm Bay, FL 32906-1327
Phone (321) 676-2008
National Provider Directory
National Provider DirectoryLocations
4650 Lipscomb St NE
Ste 25
Palm Bay, FL 32905
Phone (321) 676-2008
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Brandon, FL
- NPI 1619121324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364688000000",
"number": "1003933854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61327",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329061327",
"telephone_number": "321-676-2008",
"fax_number": "321-327-2848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 LIPSCOMB ST NE",
"address_2": "SUITE 25",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329052997",
"telephone_number": "321-676-2008",
"fax_number": "321-327-2848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELANIE W. ROTENBERG, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2013-03-31",
"status": "A",
"authorized_official_last_name": "ROTENBERG",
"authorized_official_first_name": "MELANIE",
"authorized_official_middle_name": "WACHTEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "321-676-2008",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME65926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.