Genriyetta Rozenblat, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

UO2085 Issued in FL

Practice address

2500 E Hallandale Beach Blvd
Suite 207
Hallandale Beach, FL 33009-4834

Phone

(954) 416-2021

NPI assigned

Feb 22, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Vip Medical Center, PLLC

  • Internal Medicine Physician
  • Hallandale Beach, FL
  • NPI 1639570674
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1275855983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21382 MARINA COVE CIR",
            "address_2": "APT D16",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803555",
            "telephone_number": "954-416-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 207",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094834",
            "telephone_number": "954-416-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZENBLAT",
        "first_name": "GENRIYETTA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "UO2085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela D Rosas Deulofeu
• Nadia Dadras Roshanger, PHARM.D.
• Irene Ross, LCSW
• Leon Roth, MD
• Stephen B Rothenberg, DDS
• RS Shalom Home Alf #2 LLC
• Dori L Rubin, RPT
• Kay A Rubin
• Yessi O. Ruiz Garcia
• Eugenia Ruiz, OCCUPATIONAL THERAPY

• Internal Medicine Physician in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.

Verify at the official NPI Registry.