Mark a. Rosanova, M.D., LTD.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036067273 Issued in IL

Legal business name

MARK A. ROSANOVA, M.D., LTD.

Practice address

1478 Highland Ave Ste a
Melbourne, FL 32935-6501

Phone

(321) 242-2026

Fax

(321) 242-2423

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Anthony Rosanova, M.D.

Title

President

Phone

(773) 594-0000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Thomas C. Teather, M.D.

  • Ophthalmology Physician
  • Melbourne, FL
  • NPI 1265574917
  NPD
• William A Ernstein, O.D.

  • Optometrist
  • Palatine, IL
  • NPI 1427133420
  NPD (past)
• Morris S Lehrfeld, O.D.

  • Optometrist
  • Palatine, IL
  • NPI 1669557666
  NPD (past)
• Mary Ann Rosanova-Kaper, MD

  • Ophthalmology Physician
  • Barrington, IL
  • NPI 1548255474
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1730120692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 SCHOOL RD",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329373635",
            "telephone_number": "773-594-0000",
            "fax_number": "773-594-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 HIGHLAND AVE STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356501",
            "telephone_number": "321-242-2026",
            "fax_number": "321-242-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. ROSANOVA, M.D., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "ROSANOVA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-594-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036067273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Marcy
• Susan R Marek, AU.D., CCC-A
• Margaret C Rank MD PA
• Susan Maricle
• Marilyn C. Moss, M.D.
• Mark C. Dillon, M.D. PLLC
• Mark Minor MD PA
• James A Markle, O.D.
• Heather Rebecca Markow, ARNP
• Diane M Marn

• Ophthalmology Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.