Active NPI
Alan Scott Rozen, M.D.
- Family Medicine Physician
- Juno Beach, FL
National Provider Identifier
1417034240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-110966
- Practice address
- 465 Juno Dunes Way
Platinum Palliative Care, LLC
Juno Beach, FL 33408-2307 - Phone
- (561) 914-2526
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-110966 | IL | Primary |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | ME-120336 | FL |
Addresses
Primary practice location
465 Juno Dunes Way
Platinum Palliative Care, LLC
Juno Beach, FL 33408-2307
Mailing address
465 Juno Dunes Way
Platinum Palliative Care, LLC
Juno Beach, FL 33408-2307
Phone (561) 914-2526
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036--110966 | Other | IL | STATE LICENSE |
| ME-120336 | Other | FL | FLORIDA MEDICAL LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35213 | TN | MD | Dermatology Physician |
| 036-110966 | IL | MD | Family Medicine Physician |
| ME-120336 | FL | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Partners Foundation, Inc | Family Medicine | Past | Accepting new patients |
| Memorial Health Partners Foundation Inc | Family Medicine | Past | Accepting new patients |
| Journeycare, Inc. | Family Medicine | Past | Accepting new patients |
| Midwest Palliative & Hospice Carecenter | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- La Fayette, GA
- NPI 1760632780
Family Medicine
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
Family Medicine
-
- Home Health Agency
- Glenview, IL
- NPI 1811011919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405468800000",
"number": "1417034240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 JUNO DUNES WAY",
"address_2": "PLATINUM PALLIATIVE CARE, LLC",
"city": "JUNO BEACH",
"state": "FL",
"postal_code": "334082307",
"telephone_number": "561-914-2526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 JUNO DUNES WAY",
"address_2": "PLATINUM PALLIATIVE CARE, LLC",
"city": "JUNO BEACH",
"state": "FL",
"postal_code": "334082307",
"telephone_number": "561-914-2526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZEN",
"first_name": "ALAN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2014-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-110966",
"primary": true
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "FL",
"license": "ME-120336",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "036--110966",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA MEDICAL LICENSE",
"identifier": "ME-120336",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Juno Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.