Active NPI
David Allen Rosen, SLP
- Speech-Language Pathologist
- El Portal, FL
National Provider Identifier
1013248988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ4943
- Practice address
- 66 NE 89TH St
El Portal, FL 33138-3048 - Phone
- (786) 587-4345
- NPI assigned
- Jan 16, 2010
- Last updated
- Jan 16, 2010
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ4943 | FL | Primary |
Addresses
Primary practice location
66 NE 89TH St
El Portal, FL 33138-3048
Mailing address
66 NE 89TH St
El Portal, FL 33138-3048
Phone (786) 587-4345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180828002810 | FL | Practitioner - Qualified Speech Language Pathologist | 7113276908 | Practice locations: Pembroke Pines, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ4943 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263600000000",
"number": "1013248988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 NE 89TH ST",
"city": "EL PORTAL",
"state": "FL",
"postal_code": "331383048",
"telephone_number": "786-587-4345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 NE 89TH ST",
"city": "EL PORTAL",
"state": "FL",
"postal_code": "331383048",
"telephone_number": "786-587-4345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "DAVID",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-16",
"last_updated": "2010-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ4943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Portal, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.