Individual provider Active NPI

Albert J Rosenberg

  • Certified Registered Nurse Anesthetist
  • Miami, FL
National Provider Identifier
1396979522
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9175070 Issued in FL
Practice address
6820 SW 128TH CT
Miami, FL 33183-2414
Phone
(305) 388-0609
NPI assigned
May 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9175070 FL Primary

Addresses

Primary practice location

6820 SW 128TH CT
Miami, FL 33183-2414

Mailing address

6820 SW 128TH CT
Miami, FL 33183-2414
Phone (305) 388-0609

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100322000234 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032244694 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9175070FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Ellis, Rojas, Ross & Debs, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 31, 2009 Accepting new patients
DRS. Ellis, Rojas, Ross & Debs, Inc. CurrentSince Jul 31, 2009 Accepting new patients
Pelican Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2015 Accepting new patients
Miami Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

5101 SW 8th St
Ste 201
Coral Gables, FL 33134
Phone (305) 262-6060

5101 SW 8th St
Coral Gables, FL 33134
Phone (305) 441-1570

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

Organizations & group practices 5

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": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1396979522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 SW 128TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832414",
            "telephone_number": "305-388-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 SW 128TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832414",
            "telephone_number": "305-388-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "ALBERT",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9175070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.