NPIMap

Organization Active NPI

Rogozinski Orthopedic Clinic, P.a.

  • Orthopaedic Surgery of the Spine Physician
  • Jacksonville, FL
National Provider Identifier
1376768580
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
ROGOZINSKI ORTHOPEDIC CLINIC, P.A.
Practice address
3716 University Boulevard South
Suite 3
Jacksonville, FL 32216-4318
Phone
(904) 733-3529
Fax
(904) 730-7687
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Sam Rogozinski
Title
Chief Operating Officer
Phone
(904) 733-3529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

3716 University Boulevard South
Suite 3
Jacksonville, FL 32216-4318

Mailing address

3716 University Boulevard South
Suite 3
Jacksonville, FL 32216-4318
Phone (904) 733-3529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190201000091 FL Part B Supplier - Clinic/Group Practice 3274870035 Receives reassigned benefits from 3 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

3716 University Blvd S
Ste 3
Jacksonville, FL 32216
Phone (904) 733-3529

Practitioners & affiliated clinicians

Practitioners 7

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": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376768580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 UNIVERSITY BOULEVARD SOUTH",
            "address_2": "SUITE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164318",
            "telephone_number": "904-733-3529",
            "fax_number": "904-730-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 UNIVERSITY BOULEVARD SOUTH",
            "address_2": "SUITE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164318",
            "telephone_number": "904-733-3529",
            "fax_number": "904-730-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGOZINSKI ORTHOPEDIC CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROGOZINSKI",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "904-733-3529",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.