Individual provider Active NPI

Marc Rosenberg, DO

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1356456560
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS0006370 Issued in FL
Practice address
9250 Glades Rd
Ste 108
Boca Raton, FL 33434
Phone
(561) 883-0007
Fax
(561) 883-9884
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS0006370 FL Primary

Addresses

Primary practice location

9250 Glades Rd
Ste 108
Boca Raton, FL 33434

Mailing address

7301A W Palmetto Park Rd Ste 305a
Boca Raton, FL 33433-3466
Phone (561) 883-0007

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mrosenberg@direct.practicefusion.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110826000280 FL Practitioner - Internal Medicine 1951570647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ima of South Florida LLCGroup PAC ID 6406820414, 30 clinicians

Practice addresses (Care Compare)

1601 Clint Moore Rd
Suite 115
Boca Raton, FL 33487-5712
Phone (561) 997-8484

7301 A W Palmetto Park Rd
Suite 205a
Boca Raton, FL 33433-3409
Phone (561) 883-0007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6370FLMDOptometrist
OS0006370FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ima of South Florida LLC Internal Medicine CurrentSince Jan 1, 2012 Accepting new patients

Locations

7301A W Palmetto Park Rd
Ste 305A
Boca Raton, FL 33433
Phone (561) 372-9161

1601 Clint Moore Rd
Ste 115
Boca Raton, FL 33487
Phone (561) 939-0760

7301 W Palmetto Park Rd
Ste 205A
Boca Raton, FL 33433
Phone (561) 239-4062

9250 Glades Rd
Ste 108
Boca Raton, FL 33434
Phone (561) 463-8554

Interoperability endpoints

  • Direct secure messaging: marc.rosenberg.1@31574.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1356456560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301A W PALMETTO PARK RD STE 305A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333466",
            "telephone_number": "561-883-0007",
            "fax_number": "561-883-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 GLADES RD",
            "address_2": "STE 108",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33434",
            "telephone_number": "561-883-0007",
            "fax_number": "561-883-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS0006370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrosenberg@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA",
            "address_1": "7301A W Palmetto Park Rd Ste 305A",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334333466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.