NPIMap

Individual provider Active NPI

Romane Joseph, M.D.

  • Surgery Physician
  • Miami Shores, FL
National Provider Identifier
1801197447
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME111651 Issued in FL
Practice address
9415 NE 6TH Ave
Miami Shores, FL 33138-2737
Phone
(786) 401-6455
Fax
(786) 401-6394
NPI assigned
Nov 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA08860100 NJ
Surgery Physician 208600000X ME111651 FL Primary

Addresses

Primary practice location

9415 NE 6TH Ave
Miami Shores, FL 33138-2737

Mailing address

17965 SW 1St St
Pembroke Pines, FL 33029-3921
Phone (954) 599-5459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120516000695 FL Practitioner - General Surgery 3375727134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2003
Medicare assignment
May accept Medicare assignment
Group practices
Joseph Surgery LLCGroup PAC ID 5890957484, 2 clinicians

Practice addresses (Care Compare)

4900 W Oakland Park Blvd
Suite 107
Lauderdale Lakes, FL 33313-1555
Phone (786) 401-6455

9415 NE 6TH Ave
Miami Shores, FL 33138-2737
Phone (786) 401-6455

Hospital & facility affiliations

  • Jackson Health System Hospital, Miami, FL, CCN 100022
  • North Shore Medical Center Hospital, Miami, FL, CCN 100029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME111651FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Surgery LLC CurrentSince Jan 1, 2012 Accepting new patients

Locations

4900 W Oakland Park Blvd
Ste 107
Lauderdale Lakes, FL 33313
Phone (786) 401-6455

4900 W Oakland Park Blvd
Ste 202
Lauderdale Lakes, FL 33313
Phone (516) 418-4184

9415 NE 6th Ave
Miami Shores, FL 33138
Phone (305) 756-7899

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1289606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1801197447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17965 SW 1ST ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293921",
            "telephone_number": "954-599-5459",
            "fax_number": "786-401-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 NE 6TH AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382737",
            "telephone_number": "786-401-6455",
            "fax_number": "786-401-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "ROMANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-13",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA08860100",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME111651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

Verify at the official NPI Registry.