Wayne R Rosen, CPO, CPED,PA

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

PO 00039 Issued in FL

Practice address

9921 Pines Blvd
Pembroke Pines, FL 33024-6174

Phone

(954) 447-7779

Fax

(954) 447-7782

NPI assigned

Mar 19, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1821269762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9921 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246174",
            "telephone_number": "954-447-7779",
            "fax_number": "954-447-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9921 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246174",
            "telephone_number": "954-447-7779",
            "fax_number": "954-447-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "WAYNE",
        "middle_name": "R",
        "credential": "CPO, CPED,PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "FL",
            "license": "PO 00039",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "FL",
            "license": "PO 00039",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032584800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Suzette Rose, DNP MSN ARNP MBA
• Natasha R Rose, ANP
• Rosa Rosello
• Rosemary Barreras PA
• Sheila Rosemberg Hirshbein
• Ronald E Rosenbaum, DMD
• Boaz Shmuel Rosenblat, M.D.
• Juliana M. Rosenblat, MD
• Rosenblum Victoria PA
• Bruce Richard Rosenkranz, D.C.

• Orthotist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Orthotist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.