Active NPI
Miranda Rosenberg
- Dermatology Physician
- West Palm Beach, FL
National Provider Identifier
1437685385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME150253
- 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
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 |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 30 |
| Removal of skin lesions | 341 |
| Removal of skin cancer | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 225 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME150253 | FL | MD | Dermatology Physician |
| 332058 | NY | MD | Dermatology 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.