Individual provider Active NPI

Evan Roszkowski, PA-C

  • Physician Assistant
  • Plantation, FL
National Provider Identifier
1437601382
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9609 NW 7TH Cir Apt 4110
Plantation, FL 33324-4972
Phone
(609) 827-9478
NPI assigned
Oct 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

9609 NW 7TH Cir Apt 4110
Plantation, FL 33324-4972

Mailing address

9609 NW 7TH Cir Apt 4110
Plantation, FL 33324-4972
Phone (609) 827-9478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20241220000845 SC Practitioner - Physician Assistant 4880978337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

4115 Dorchester Rd
Suite 100
Charleston, SC 29405-7501
Phone (843) 554-6737

5070 International Blvd
Suite 115
North Charleston, SC 29418-6006
Phone (943) 554-1029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
53987CAMDDentist
5547SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Nov 11, 2024 Accepting new patients

Locations

4115 Dorchester Rd
Ste 100
North Charleston, SC 29405
Phone (843) 554-6737

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 1

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": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1437601382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9609 NW 7TH CIR APT 4110",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244972",
            "telephone_number": "609-827-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9609 NW 7TH CIR APT 4110",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244972",
            "telephone_number": "609-827-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSZKOWSKI",
        "first_name": "EVAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.