Individual provider Active NPI

Miranda Rosenberg

  • Dermatology Physician
  • West Palm Beach, FL
National Provider Identifier
1437685385
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME150253 Issued in FL
Practice address
470 Columbia Dr Ste A102
West Palm Beach, FL 33409-1983
Phone
(561) 640-4400
Fax
(561) 640-8098
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 332058 NY
Dermatology Physician 207N00000X ME150253 FL Primary

Addresses

Primary practice location

470 Columbia Dr Ste A102
West Palm Beach, FL 33409-1983

Mailing address

470 Columbia Dr Ste A102
West Palm Beach, FL 33409-1983
Phone (561) 640-4400

Other practice location 1

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 243-6284

Other practice location 2

331 E 82nd St
New York, NY 10028-4103
Phone (347) 472-0664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210630001422 FL Practitioner - Dermatology 9638570476
I20250312001180 NY Practitioner - Dermatology 9638570476

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1111 Marcus Ave
New Hyde Park, NY 11042-1034

2 Brighton Rd
Suite 300
Clifton, NJ 07102-1645

2 Brighton Rd
Suite 300
Clifton, NJ 07102-6545

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal of skin lesions341
Removal of skin cancer1-10
Removal or shaving of skin growth1-10
Skin biopsy225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME150253FLMDDermatology Physician
332058NYMDDermatology Physician

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1437685385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 COLUMBIA DR STE A102",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091983",
            "telephone_number": "561-640-4400",
            "fax_number": "561-640-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 COLUMBIA DR STE A102",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091983",
            "telephone_number": "561-640-4400",
            "fax_number": "561-640-8098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33136",
            "country_code": "US",
            "telephone_number": "305-243-6284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 E 82nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100284103",
            "country_code": "US",
            "telephone_number": "347-472-0664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "MIRANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "332058",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME150253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.