Active NPI
Richard Rozencwaig, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Aventura, FL
National Provider Identifier
1689767477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 0075402
- Practice address
- 21000 NE 28TH Ave Ste 104
Aventura, FL 33180-1421 - Phone
- (305) 937-1999
- Fax
- (305) 931-9741
- NPI assigned
- Oct 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 0075402 | FL | Primary |
Addresses
Primary practice location
21000 NE 28TH Ave Ste 104
Aventura, FL 33180-1421
Mailing address
21000 NE 28TH Ave Ste 104
Aventura, FL 33180-1421
Phone (305) 937-1999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0075402 | FL | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Diagnostic Rehab of South Florida Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Lighthouse Point, FL
- NPI 1184655656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428883200000",
"number": "1689767477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21000 NE 28TH AVE STE 104",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801421",
"telephone_number": "305-937-1999",
"fax_number": "305-931-9741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21000 NE 28TH AVE STE 104",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801421",
"telephone_number": "305-937-1999",
"fax_number": "305-931-9741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZENCWAIG",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2015-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "FL",
"license": "0075402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.