Active NPI
Jordan Rosen
- Dermatology Physician
- Davie, FL
National Provider Identifier
1588124283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME160909
- Practice address
- 3501 S University Dr Ste 5
Davie, FL 33328-2001 - Phone
- (954) 998-0345
- NPI assigned
- Mar 20, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dermatology Physician | 207N00000X | ME160909 | FL | Primary |
Addresses
Primary practice location
3501 S University Dr Ste 5
Davie, FL 33328-2001
Mailing address
3501 S University Dr Ste 5
Davie, FL 33328-2001
Phone (954) 998-0345
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Miami, LM Miller School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3501 S University Dr
Suite 5
Davie, FL 33328-2001
Phone (954) 998-0345
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.01 of 100
- Quality
- 58.2
- Promoting interoperability
- 0
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 69 |
| Removal of skin lesions | 366 |
| Removal of skin cancer | 99 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 226 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME160909 | FL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Skin LLC | Dermatology | Current | Accepting new patients |
| Vitalmd Group Holding LLC | Dermatology | Past | Accepting new patients |
Locations
3501 S University Dr
Ste 5
Davie, FL 33328
Phone (954) 998-0345
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": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1588124283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 S UNIVERSITY DR STE 5",
"city": "DAVIE",
"state": "FL",
"postal_code": "333282001",
"telephone_number": "954-998-0345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 S UNIVERSITY DR STE 5",
"city": "DAVIE",
"state": "FL",
"postal_code": "333282001",
"telephone_number": "954-998-0345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-20",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME160909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.