Individual provider Active NPI

Rozalyn Agenoria Paschal-Thomas, M.D.

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1861622672
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
104396 Issued in FL
Practice address
7900 NW 27TH Ave
Suite 50
Miami, FL 33147-4909
Phone
(305) 758-0591
Fax
(305) 836-5445
NPI assigned
Jul 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 104396 FL Primary

Addresses

Primary practice location

7900 NW 27TH Ave
Suite 50
Miami, FL 33147-4909

Mailing address

PO Box 370608
Miami, FL 33137-0608
Phone (305) 758-0591

Other names 1

  • Rozalyn Agenoria Paschal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
104396FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mahogany Health Center Inc PastSince Dec 15, 2019 Accepting new patients
Rozalyn Hester Paschal MD PA Pediatrics Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1861622672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370608",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331370608",
            "telephone_number": "305-758-0591",
            "fax_number": "305-836-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 NW 27TH AVE",
            "address_2": "SUITE 50",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331474909",
            "telephone_number": "305-758-0591",
            "fax_number": "305-836-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCHAL-THOMAS",
        "first_name": "ROZALYN",
        "middle_name": "AGENORIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "104396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROZALYN",
            "last_name": "PASCHAL",
            "middle_name": "AGENORIA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.