Individual provider Active NPI

Edward Stemmler Rosenthal, OD

  • Optometrist
  • Margate, FL
National Provider Identifier
1225148422
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0000OPC1440 Issued in FL
Practice address
5478 W Sample Rd
Margate, FL 33073
Phone
(954) 974-8700
NPI assigned
Aug 30, 2006
Last updated
Jul 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0000OPC1440 FL Primary

Addresses

Primary practice location

5478 W Sample Rd
Margate, FL 33073

Mailing address

20283 Hacienda CT
Boca Raton, FL 33498-6602
Phone (561) 487-2102

Other identifiers 1

IdentifierTypeStateIssuer
620395701MedicaidFL

Other names 1

  • Dr. Ned Stemmler Rosenthal Professional name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110509000731 FL Practitioner - Optometry 7214113240 Practice locations: Boca Raton, FL; Coconut Creek, FL; Lauderdale Lakes, FL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1944 NE 5TH Ave
Boca Raton, FL 33431-7702
Phone (561) 447-6770

20283 Hacienda CT
Boca Raton, FL 33498-6602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000OPC1440FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell J Marder P.a. Optometrist PastSince Jul 9, 1990 Accepting new patients
Southshore Opticians Boca Inc Past Accepting new patients
Everything Optical Inc Past Accepting new patients

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1225148422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20283 HACIENDA CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986602",
            "telephone_number": "561-487-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5478 W SAMPLE RD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "33073",
            "telephone_number": "954-974-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "EDWARD",
        "middle_name": "STEMMLER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "0000OPC1440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620395701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NED",
            "last_name": "ROSENTHAL",
            "middle_name": "STEMMLER",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Margate, FL

Sources for this page

Verify at the official NPI Registry.