Organization Active NPI

Marcelle Abell-Rosen MD PA

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1528180965
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MARCELLE ABELL-ROSEN MD PA
Practice address
255 SE 14TH St
Suite 1B
Fort Lauderdale, FL 33316-1827
Phone
(954) 467-3878
Fax
(954) 467-7571
NPI assigned
Apr 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Marcelle Abell-Rosen, MDNPI 1275597189
Title
Owner
Phone
(954) 790-7750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X FL Primary

Addresses

Primary practice location

255 SE 14TH St
Suite 1B
Fort Lauderdale, FL 33316-1827

Mailing address

255 SE 14TH St
Ste 1B
Fort Lauderdale, FL 33316-1852
Phone (954) 967-8222

Other identifiers 1

IdentifierTypeStateIssuer
29595OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071212000525 FL Part B Supplier - Clinic/Group Practice 3476643644 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

1330 SE 4th Ave
Ste H
Ft Lauderdale, FL 33316
Phone (954) 467-8222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1528180965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SE 14TH ST",
            "address_2": "STE 1B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161852",
            "telephone_number": "954-967-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SE 14TH ST",
            "address_2": "SUITE 1B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161827",
            "telephone_number": "954-467-3878",
            "fax_number": "954-467-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELLE ABELL-ROSEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "ABELL-ROSEN",
        "authorized_official_first_name": "MARCELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-790-7750",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "29595",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.