Organization Active NPI

Paul F. Rockley M.D. P.a

  • Dermatology Physician
  • North Miami Beach, FL
National Provider Identifier
1336333178
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
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

Updated by the provider on Sep 5, 2007

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.NPI 1003823253
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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X Primary
Dermatopathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0900X
Procedural Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20120629000027 FL Part B Supplier - Clinic/Group Practice 3072778885 Receives reassigned benefits from 2 practitioners
Practice locations: North Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.