Active NPI
Marc W. Rosen, D.C.,P.a.
- Chiropractor
- Boca Raton, FL
National Provider Identifier
1750640942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH4810
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55195 | Other | FL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI 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.