Jeffrey Dale Rosenbaum, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101008667 Issued in MI

Practice address

18618 Middlebelt Rd
Suite #102
Livonia, MI 48152-3586

Phone

(248) 476-1010

Fax

(248) 476-9239

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Lakes Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • West Bloomfield, MI
  • NPI 1699786624
  Medicare reassignment

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427137355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18618 MIDDLEBELT RD",
            "address_2": "SUITE #102",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18618 MIDDLEBELT RD",
            "address_2": "SUITE #102",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523586",
            "telephone_number": "248-476-1010",
            "fax_number": "248-476-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "JEFFREY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alysa Rosema
• Rosemary Aquiler
• Rosemary M Aquiler Angeles MD PC
• Elliot S Rosen, LMSW, LMFT
• Michael L. Rosen, M.D.
• Sherri Pam Rosenfeld, D.O.
• Sara Elizabeth Ross
• Sean M Ross
• Benjamin Michael Rossi, DO
• Roth and Baum Associates, P.C.

• Family Medicine Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.