Organization Active NPI

Milwaukee Recovery Associates LLC

  • Addiction Medicine (Family Medicine) Physician
  • Mequon, WI
National Provider Identifier
1245779578
Registry record updated Sep 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
MILWAUKEE RECOVERY ASSOCIATES LLC
Practice address
1516 W Mequon Rd Ste 103
Mequon, WI 53092
Phone
(262) 242-0700
Fax
(855) 457-1293
NPI assigned
Feb 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2018

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

Authorized official

Name
Aaron Michael Rosenberg, MDNPI 1306237417
Title
Owner
Phone
(262) 888-9250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

1516 W Mequon Rd Ste 103
Mequon, WI 53092

Mailing address

1516 W Mequon Rd Ste 103
Mequon, WI 53092-3264
Phone (262) 242-0700

National Provider Directory

National Provider Directory

Locations

500 W Silver Spring Dr
Ste K400
Glendale, WI 53217
Phone (414) 847-6286

1516 W Mequon Rd
Ste 103
Mequon, WI 53092
Phone (262) 242-0700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535932800000",
    "number": "1245779578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 W MEQUON RD STE 103",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923264",
            "telephone_number": "262-242-0700",
            "fax_number": "855-457-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 W MEQUON RD STE 103",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "53092",
            "telephone_number": "262-242-0700",
            "fax_number": "855-457-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE RECOVERY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2018-09-03",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-888-9250",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2018; 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.