NPIMap

Organization Active NPI

Melanie W. Rotenberg, MD, PA

  • Physical Medicine & Rehabilitation Physician
  • Palm Bay, FL
National Provider Identifier
1003933854
Registry record updated Mar 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME65926 Issued in FL
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
Last updated
Mar 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2013

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.NPI 1124023866
Title
President
Phone
(321) 676-2008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

4650 Lipscomb St NE
Ste 25
Palm Bay, FL 32905
Phone (321) 676-2008

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.

Verify at the official NPI Registry.