NPIMap

Organization Active NPI

Novi Internal Medicine and Pediatrics, PLLC

  • Internal Medicine Physician
  • Novi, MI
National Provider Identifier
1649215914
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NOVI INTERNAL MEDICINE AND PEDIATRICS, PLLC
Practice address
39475 Lewis Drive
Ste 130
Novi, MI 48377-2961
Phone
(248) 374-0502
Fax
(248) 374-0567
NPI assigned
Jun 19, 2006
Last updated
Aug 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Authorized official

Name
Dr. Daniel M Rosenberg, MDNPI 1629038526
Title
Owner
Phone
(248) 374-0502

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

39475 Lewis Drive
Ste 130
Novi, MI 48377-2961

Mailing address

39475 Lewis Drive
Ste 130
Novi, MI 48377-2961
Phone (248) 374-0502

National Provider Directory

National Provider Directory

Locations

5636 Reliable Pkwy
Chicago, IL 60686

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1649215914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39475 LEWIS DRIVE",
            "address_2": "STE 130",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772961",
            "telephone_number": "248-374-0502",
            "fax_number": "248-374-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39475 LEWIS DRIVE",
            "address_2": "STE 130",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772961",
            "telephone_number": "248-374-0502",
            "fax_number": "248-374-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVI INTERNAL MEDICINE AND PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-374-0502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.