Active NPI
Stanley Allen Rosenberg, M.D.
- Internal Medicine Physician
- South Pasadena, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME22511
- Practice address
- 2525 Pasadena Avenue South
Suite U
South Pasadena, FL 33707-4559 - Phone
- (727) 381-4430
- Fax
- (727) 381-9630
- NPI assigned
- Aug 24, 2006
- Last updated
- May 22, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME22511 | FL | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | ME22511 | FL |
Addresses
Primary practice location
2525 Pasadena Avenue South
Suite U
South Pasadena, FL 33707-4559
Mailing address
PO Box 1830
Clearwater, FL 33757-1830
Phone (727) 532-0002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 057160100 | Medicaid | FL | |
| P01022905 | Other | FL | MEDICARE RAILROAD PROVIDER NUMBER |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| St Anthony's Primary Care LLC | Internal Medicine | Past | Accepting new patients |
Locations
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
2525 Pasadena Ave S
Ste U
South Pasadena, FL 33707
Phone (727) 381-4430
1201 5th Ave N
Ste 408
St Petersburg, FL 33705
Phone (727) 894-3733
Organizations & group practices 3
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.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
Internal Medicine
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1629029897
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1144337262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1830",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337571830",
"telephone_number": "727-532-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 PASADENA AVENUE SOUTH",
"address_2": "SUITE U",
"city": "SOUTH PASADENA",
"state": "FL",
"postal_code": "337074559",
"telephone_number": "727-381-4430",
"fax_number": "727-381-9630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "STANLEY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME22511",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "FL",
"license": "ME22511",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "057160100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PROVIDER NUMBER",
"identifier": "P01022905",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Pasadena, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.