Individual provider Active NPI

Ava Wolf Rosenberg, D.O.

  • Family Medicine Physician
  • Weston, FL
National Provider Identifier
1073692125
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6375 Issued in FL
Practice address
1604 Town Center Cir
Suite B
Weston, FL 33326-3640
Phone
(954) 349-3030
Fax
(954) 349-9337
NPI assigned
Nov 2, 2006
Last updated
Aug 25, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6375 FL Primary

Addresses

Primary practice location

1604 Town Center Cir
Suite B
Weston, FL 33326-3640

Mailing address

1604 Town Center Cir
Suite B
Weston, FL 33326-3640
Phone (954) 349-3030

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120111000239 FL Practitioner - Family Practice 0446421994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

2300 N Commerce Pkwy
113 Vip Pediatris LLC
Weston, FL 33326-3255
Phone (954) 251-0011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6375FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weston Family Practice PA Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ava.rosenberg@toplinemd.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1073692125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 TOWN CENTER CIR",
            "address_2": "SUITE B",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263640",
            "telephone_number": "954-349-3030",
            "fax_number": "954-349-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 TOWN CENTER CIR",
            "address_2": "SUITE B",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263640",
            "telephone_number": "954-349-3030",
            "fax_number": "954-349-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "AVA",
        "middle_name": "WOLF",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "6375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.