Individual provider Active NPI

Jason R Rosen, D.O.

  • Dermatopathology Physician
  • Delray Beach, FL
National Provider Identifier
1487098059
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
OS14613 Issued in FL
Practice address
4675 Linton Blvd Ste 203B
Delray Beach, FL 33445-6615
Phone
(561) 499-5341
Fax
(561) 499-5343
NPI assigned
Apr 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X OS14613 FL
Anatomic Pathology Physician 207ZP0101X OS14613 FL
Dermatopathology Physician 207ND0900X OS14613 FL Primary

Addresses

Primary practice location

4675 Linton Blvd Ste 203B
Delray Beach, FL 33445-6615

Mailing address

4675 Linton Blvd Ste 203B
Delray Beach, FL 33445-6615
Phone (561) 499-5341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20170828003953 FL Practitioner - PathologyPractitioner - Obstetrics/Gynecology 7810260718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vein and Skin LLCGroup PAC ID 9830476712, 21 clinicians

Practice addresses (Care Compare)

3100 S Federal Hwy (Us1)
Suite 8
Delray Beach, FL 33483-3320
Phone (561) 278-1362

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS14613FLMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vein and Skin LLC Dermatopathology CurrentSince Jun 1, 2017 Accepting new patients
Total Vein and Skin LLC Dermatopathology PastSince Feb 12, 2023 Accepting new patients

Locations

951 NW 13th St
Ste 2D
Boca Raton, FL 33486
Phone (561) 393-7488

7280 W Palmetto Park Rd
Ste 207N
Boca Raton, FL 33433
Phone (561) 314-0658

20937 Lyons Rd
Boca Raton, FL 33428
Phone (561) 483-5666

7280 W Palmetto Park Rd
Ste 207
Boca Raton, FL 33433
Phone (561) 278-1362

10383 Hagen Ranch Rd
Ste 100
Boynton Beach, FL 33437
Phone (561) 349-7653

3100 S Federal Hwy
Ste 8
Delray Beach, FL 33483
Phone (561) 278-1362

4675 Linton Blvd
Ste 203B
Delray Beach, FL 33445
Phone (561) 499-5341

3100 S Federal Hwy
Ste 8
Delray Beach, FL 33483
Phone (561) 278-1362

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1487098059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 LINTON BLVD STE 203B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456615",
            "telephone_number": "561-499-5341",
            "fax_number": "561-499-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 LINTON BLVD STE 203B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456615",
            "telephone_number": "561-499-5341",
            "fax_number": "561-499-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "JASON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-25",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "FL",
            "license": "OS14613",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "FL",
            "license": "OS14613",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "OS14613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.