Individual provider Active NPI

Rose May Seide, M.D.

  • Family Medicine Physician
  • North Miami Beach, FL
National Provider Identifier
1871582403
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME81771 Issued in FL
Practice address
125 NE 167TH St
North Miami Beach, FL 33162-3404
Phone
(786) 402-0351
Fax
(786) 524-0295
NPI assigned
Oct 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME81771 FL Primary

Addresses

Primary practice location

125 NE 167TH St
North Miami Beach, FL 33162-3404

Mailing address

671 NW 119TH St
Miami, FL 33168-2522
Phone (305) 688-0811

Other identifiers 1

IdentifierTypeStateIssuer
262149500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041216000993 FL Practitioner - Family Practice 3577520949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 NE 167TH St
North Miami Beach, FL 33162-3404
Phone (786) 402-0351

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81771FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Health Center, LLC Family Medicine CurrentSince May 1, 2021 Accepting new patients
Rose May Seide, MD PA PastSince May 1, 2006 Accepting new patients

Locations

125 NE 167th St
North Miami Beach, FL 33162
Phone (786) 402-0351

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1871582403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 NW 119TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331682522",
            "telephone_number": "305-688-0811",
            "fax_number": "305-687-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NE 167TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623404",
            "telephone_number": "786-402-0351",
            "fax_number": "786-524-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDE",
        "first_name": "ROSE MAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2023-03-07",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME81771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262149500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.