Individual provider Active NPI

Irina Rafailovna Rozenfeld, APRN, DNP

  • Adult Health Nurse Practitioner
  • Davie, FL
National Provider Identifier
1417292509
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9276644 Issued in FL
Practice address
3321 College Ave # 405
Davie, FL 33314-7705
Phone
(954) 262-2850
Fax
(954) 262-3850
NPI assigned
Nov 30, 2012
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9276644 FL
Adult Health Nurse Practitioner 363LA2200X ARNP9276644 FL Primary

Addresses

Primary practice location

3321 College Ave # 405
Davie, FL 33314-7705

Mailing address

3200 S University Dr
Davie, FL 33328-2018
Phone (954) 262-4317

Other practice location 1

8720 N Kendall Dr
Suite 108
Miami, FL 33176-2299
Phone (954) 262-4100

Other practice location 2

3321 College Ave # 405
Davie, FL 33314-7705
Phone (954) 262-2850

Other practice location 3

8501 SW 124th Ave
Miami, FL 33183-4627
Phone (305) 595-4300

Other practice location 4

1930 Harrison St Ste 404
Hollywood, FL 33020-7829
Phone (786) 780-1188

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160224002151 FL Practitioner - Nurse Practitioner 5597060897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nova Southeastern University IncGroup PAC ID 4486568896, 97 clinicians

Practice addresses (Care Compare)

16855 NE 2ND Ave
Suite N302
North Miami Beach, FL 33162-1744
Phone (954) 262-4343

Merit-based Incentive Payment System (MIPS)

Final score
72.47 of 100Reported as group
Quality
62.45
Improvement activities
40
Cost
73.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9276644FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Southeastern University, Inc Current Accepting new patients
Nova Southeastern University, Inc CurrentSince Nov 1, 2015 Accepting new patients
Nova Southeastern University Inc. CurrentSince Nov 1, 2015 Accepting new patients
Nova Southeastern University, Inc Past Accepting new patients

Locations

3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1417292509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282018",
            "telephone_number": "954-262-4317",
            "fax_number": "954-262-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 COLLEGE AVE # 405",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333147705",
            "telephone_number": "954-262-2850",
            "fax_number": "954-262-3850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8720 N Kendall Dr",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762299",
            "country_code": "US",
            "telephone_number": "954-262-4100",
            "fax_number": "954-262-2269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3321 College Ave # 405",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333147705",
            "country_code": "US",
            "telephone_number": "954-262-2850",
            "fax_number": "954-262-3850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8501 SW 124th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331834627",
            "country_code": "US",
            "telephone_number": "305-595-4300",
            "fax_number": "305-598-4155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1930 Harrison St Ste 404",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330207829",
            "country_code": "US",
            "telephone_number": "786-780-1188",
            "fax_number": "786-780-1176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROZENFELD",
        "first_name": "IRINA",
        "middle_name": "RAFAILOVNA",
        "credential": "APRN, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9276644",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9276644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.