Endocrinology and Diabetes Associates, P.a.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

ENDOCRINOLOGY AND DIABETES ASSOCIATES, P.A.

Practice address

1801 N University Dr
Suite209
Coral Springs, FL 33071-8920

Phone

(954) 575-4040

Fax

(954) 575-4049

NPI assigned

Jun 12, 2008

Last updated

Apr 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vivian Percival Rose, MDNPI 1013020072

Title

President

Phone

(954) 575-4040

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vivian Percival Rose, M.D.

  • Specialist
  • Coral Springs, FL
  • NPI 1013020072
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1780844803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N UNIVERSITY DR",
            "address_2": "SUITE209",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718920",
            "telephone_number": "954-575-4040",
            "fax_number": "954-575-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N UNIVERSITY DR",
            "address_2": "SUITE209",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718920",
            "telephone_number": "954-575-4040",
            "fax_number": "954-575-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY AND DIABETES ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "PERCIVAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-575-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "D63185",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0475769",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emicore Wellness USA Inc
• Blondine Emilien, APRN
• Empire Detox, LLC
• Encore Medical Group, Inc.
• Encore Medical Supply, LLC
• Endocrinology Consultants of South Florida PLLC
• Endoslim Clinic FL PA
• Katherine A Enea, OTR
• Ashley Ann Engel, MD
• Michael Wayne Engelman, MD

• Endocrinology, Diabetes & Metabolism Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.