Organization Active NPI

Marc W. Rosen, D.C.,P.a.

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1750640942
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4810 Issued in FL
Legal business name
MARC W. ROSEN, D.C.,P.A.
Practice address
7300 W Camino Real
Suite 104
Boca Raton, FL 33433-5512
Phone
(561) 392-5555
Fax
(561) 852-9925
NPI assigned
May 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Dr. Marc Wayne Rosen, D.C.
Title
President
Phone
(561) 392-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH4810 FL Primary

Addresses

Primary practice location

7300 W Camino Real
Suite 104
Boca Raton, FL 33433-5512

Mailing address

7300 W Camino Real
Suite 104
Boca Raton, FL 33433-5512
Phone (561) 392-5555

Other identifiers 1

IdentifierTypeStateIssuer
55195OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1750640942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 W CAMINO REAL",
            "address_2": "SUITE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335512",
            "telephone_number": "561-392-5555",
            "fax_number": "561-852-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 W CAMINO REAL",
            "address_2": "SUITE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335512",
            "telephone_number": "561-392-5555",
            "fax_number": "561-852-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC W. ROSEN, D.C.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-392-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "55195",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.