Krista D Rosenberg

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

ME90178 Issued in FL

Practice address

6333 N Federal Hwy
Suite 300
Ft Lauderdale, FL 33308-1907

Phone

(954) 776-6880

Fax

(954) 229-3100

NPI assigned

Apr 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kevin T Kelly M D PA

  • Ophthalmology Physician
  • Wellington, FL
  • NPI 1538363742
  NPD (past)
• Palm Beach Eye Center Inc

  • Ophthalmology Physician
  • Delray Beach, FL
  • NPI 1912568387
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1235192428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 N FEDERAL HWY",
            "address_2": "SUITE 300",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081907",
            "telephone_number": "954-776-6880",
            "fax_number": "954-229-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 N FEDERAL HWY",
            "address_2": "SUITE 300",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081907",
            "telephone_number": "954-776-6880",
            "fax_number": "954-229-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "KRISTA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME90178",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME90178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270178200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "48054",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald L Rose, PSY.D.
• Sharon Debra Roseman, L.C.S.W.
• Dianne E Rosen, PH.D.
• Matthew Nathan Rosen, MS, LMHC, NCC, PA
• Jerry Harris Rosenbaum, D.D.S.,M.S.
• Marcy Joy Rosenberg, M.A.,L.M.H.C.
• Lily T Rosenblatt
• Sheree Berkley Rosenbloom, NP
• Ronald P Rosenheck, D.C.
• Mitchel Rosenholtz, MSW

• Retina Specialist (Ophthalmology) Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Retina Specialist (Ophthalmology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.