Active NPI
Paul F. Rockley M.D. P.a
- Dermatology Physician
- North Miami Beach, FL
National Provider Identifier
1336333178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- PAUL F. ROCKLEY M.D. P.A
- Practice address
- 17101 NE 19TH Ave
Ste 101
North Miami Beach, FL 33162-3159 - Phone
- (305) 940-7766
- Fax
- (305) 940-4617
- NPI assigned
- Sep 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul F Rockley, M.D.
- Title
- President
- Phone
- (305) 940-7766
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| Dermatopathology Physician | 207ND0900X | |||
| Procedural Dermatology Physician | 207NS0135X |
Addresses
Primary practice location
17101 NE 19TH Ave
Ste 101
North Miami Beach, FL 33162-3159
Mailing address
17101 NE 19TH Ave
Ste 101
North Miami Beach, FL 33162-3159
Phone (305) 940-7766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17101 NE 19th Ave
North Miami Beach, FL 33162
17101 NE 19th Ave
Ste 101
North Miami Beach, FL 33162
Phone (305) 940-7766
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- North Miami Beach, FL
- NPI 1003823253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188950400000",
"number": "1336333178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17101 NE 19TH AVE",
"address_2": "STE 101",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331623159",
"telephone_number": "305-940-7766",
"fax_number": "305-940-4617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17101 NE 19TH AVE",
"address_2": "STE 101",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331623159",
"telephone_number": "305-940-7766",
"fax_number": "305-940-4617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL F. ROCKLEY M.D. P.A",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-05",
"last_updated": "2007-09-05",
"status": "A",
"authorized_official_last_name": "ROCKLEY",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-940-7766",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.