Vip Medical Center, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS11798 Issued in FL

Legal business name

VIP MEDICAL CENTER, PLLC

Practice address

2500 E Hallandale Beach Blvd
Suite 203
Hallandale Beach, FL 33009-4834

Phone

(954) 501-0010

Fax

(305) 455-9676

NPI assigned

Sep 9, 2014

Organization subpart

No

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

Authorized official

Name

Genriyetta Rozenblat, D.O.NPI 1275855983

Title

Owner Physician

Phone

(305) 318-5696

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Genriyetta Rozenblat, D.O.

  • Internal Medicine Physician
  • Hallandale Beach, FL
  • NPI 1275855983
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1639570674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 174TH STREET",
            "address_2": "SUITE 1714",
            "city": "SUNNY ISLES",
            "state": "FL",
            "postal_code": "33160",
            "telephone_number": "954-501-0010",
            "fax_number": "305-455-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 203",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094834",
            "telephone_number": "954-501-0010",
            "fax_number": "305-455-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "ROZENBLAT",
        "authorized_official_first_name": "GENRIYETTA",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "305-318-5696",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS11798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006672600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eydher Verdecia
• Versio Medica, LLC
• Village of Dentistry LLC
• Andres Alberto Villalobos
• Vip Cardiology Center LLC
• Vitas Health Inc
• Vladislava Culina, MD P.a.
• Henry Waich, APRN
• Greta Wainstein
• Susana D Waisberg, PHYSICAL THERAPY

• Internal Medicine Physician in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.