Individual provider Active NPI

Amy Catherine Roskin, M.D.

  • Obstetrics & Gynecology Physician
  • Tamarac, FL
National Provider Identifier
1346218187
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME68024 Issued in FL
Practice address
8333 W McNab Rd
Ste 122
Tamarac, FL 33321-3203
Phone
(954) 718-7180
Fax
(954) 780-8025
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME68024 FL Primary

Addresses

Primary practice location

8333 W McNab Rd
Ste 122
Tamarac, FL 33321-3203

Mailing address

1870 N Corporate Lakes Blvd Unit 267415
Weston, FL 33326
Phone (954) 718-7180

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL acros4321@yahoo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME68024FLMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: amy.roskin@91098514915332.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1346218187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 N CORPORATE LAKES BLVD UNIT 267415",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33326",
            "telephone_number": "954-718-7180",
            "fax_number": "954-780-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 W MCNAB RD",
            "address_2": "STE 122",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213203",
            "telephone_number": "954-718-7180",
            "fax_number": "954-780-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSKIN",
        "first_name": "AMY",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME68024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "acros4321@yahoo.com",
            "affiliation": "N",
            "address_1": "8333 W McNab Rd",
            "address_2": "STE 122",
            "city": "Tamarac",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333213203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.