Individual provider Active NPI

Magaly Rouzier, MD

  • Family Medicine Physician
  • Port St Lucie, FL
National Provider Identifier
1659366060
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME86524 Issued in FL
Practice address
5475 NW Saint James Dr
#148
Port St Lucie, FL 34983-3444
Phone
(917) 656-7640
Fax
(772) 344-8852
NPI assigned
Sep 13, 2005
Last updated
Jun 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 226224 NY
Family Medicine Physician 207Q00000X ME86524 FL Primary

Addresses

Primary practice location

5475 NW Saint James Dr
#148
Port St Lucie, FL 34983-3444

Mailing address

5475 NW Saint James Dr
#148
Port St Lucie, FL 34983-3444
Phone (917) 656-7640

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
I20150811004411 FL Practitioner - Family Practice 4082607395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimus Care Physician Services PLLCGroup PAC ID 0840505525, 9 clinicians

Practice addresses (Care Compare)

2550 SE Walton Rd
Port St Lucie, FL 34952-7168
Phone (772) 335-0400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226224NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optimus Care Physician Services PLLC Family Medicine CurrentSince Jun 12, 2015 Accepting new patients

Locations

2550 SE Walton Rd
Port St Lucie, FL 34952
Phone (772) 335-0400

5475 NW Saint James Dr
Port St Lucie, FL 34983
Phone (772) 678-9033

222 Purchase St
#109
Rye, NY 10580

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1659366060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 NW SAINT JAMES DR",
            "address_2": "#148",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349833444",
            "telephone_number": "917-656-7640",
            "fax_number": "772-344-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 NW SAINT JAMES DR",
            "address_2": "#148",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349833444",
            "telephone_number": "917-656-7640",
            "fax_number": "772-344-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUZIER",
        "first_name": "MAGALY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "226224",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME86524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.