Active NPI
Kenneth a Rosen MD PA
- Dermatology Physician
- Miami, FL
National Provider Identifier
1477008159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- KENNETH A ROSEN MD PA
- Practice address
- 10300 SW 72ND St
Suite 150
Miami, FL 33173-3012 - Phone
- (305) 279-6012
- Fax
- (305) 279-7709
- NPI assigned
- Aug 23, 2016
- Last updated
- Aug 23, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth A Rosen, MD
- Title
- Physician/Owner
- Phone
- (305) 279-6012
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | NU | Primary |
Addresses
Primary practice location
10300 SW 72ND St
Suite 150
Miami, FL 33173-3012
Mailing address
151 Southhall LN
Suite 300
Maitland, FL 32751-7176
Phone (407) 875-2080
National Provider Directory
National Provider DirectoryNetworks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Miami, FL
- NPI 1982625406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471910400000",
"number": "1477008159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 SOUTHHALL LN",
"address_2": "SUITE 300",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517176",
"telephone_number": "407-875-2080",
"fax_number": "407-650-3455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 SW 72ND ST",
"address_2": "SUITE 150",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733012",
"telephone_number": "305-279-6012",
"fax_number": "305-279-7709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH A ROSEN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-23",
"last_updated": "2016-08-23",
"status": "A",
"authorized_official_last_name": "ROSEN",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "305-279-6012",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.