Active NPI
Allen Edwin Rosen, MD
- Pulmonary Disease Physician
- Riviera Beach, FL
National Provider Identifier
1710989140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME0032989
- Practice address
- 5555 W Blue Heron Blvd
Riviera Beach, FL 33418-7813 - Phone
- (561) 659-1000
- Fax
- (561) 659-1009
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME0032989 | FL | Primary |
Addresses
Primary practice location
5555 W Blue Heron Blvd
Riviera Beach, FL 33418-7813
Mailing address
17 Sheldrake LN
Palm Beach Gardens, FL 33418-6831
Phone (561) 659-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067314500 | Medicaid | FL |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100928000145 | FL | Practitioner - Pulmonary Disease | 6608992680 | Practice locations: Mangonia Park, FL; Riviera Beach, FL; West Palm Beach, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0032989 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Rosen, M.D. | Pulmonary Disease | 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.
-
- Pulmonary Disease Physician
- Riviera Beach, FL
- NPI 1164814828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425427200000",
"number": "1710989140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 SHELDRAKE LN",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334186831",
"telephone_number": "561-659-1000",
"fax_number": "561-659-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 W BLUE HERON BLVD",
"city": "RIVIERA BEACH",
"state": "FL",
"postal_code": "334187813",
"telephone_number": "561-659-1000",
"fax_number": "561-659-1009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "ALLEN",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2015-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME0032989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "067314500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riviera Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.