Active NPI
Jennifer Paz Rossi, CPNP-PC
- Pediatric Nurse Practitioner
- Hollywood, FL
National Provider Identifier
1871840165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 11015767
- Practice address
- 3950 N 46TH Ave
Hollywood, FL 33021-1726 - Phone
- (954) 962-9022
- NPI assigned
- Aug 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9579686 | FL | |
| General Practice Registered Nurse | 163WG0000X | 609629 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | 382206 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | 11015767 | FL | Primary |
Addresses
Primary practice location
3950 N 46TH Ave
Hollywood, FL 33021-1726
Mailing address
361 N University Dr Apt 630
Plantation, FL 33324-2061
Phone (305) 282-7828
Other practice location 1
789 S Federal Hwy
Fort Lauderdale, FL 33316-1218
Phone (954) 315-5784
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)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9579686 | FL | MD | Registered Nurse |
| 609629 | NY | MD | General Practice Registered Nurse |
| 11015767 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saltzman, Tanis, Pittell, Levin and Jacobson, LLC | Past | Accepting new patients | |
| Saltzman, Tanis, Pittell, Levin and Jacobson | 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.
-
- Pediatrics Physician
- Hollywood, FL
- NPI 1639138480
-
- Pediatrics Physician
- Hollywood, FL
- NPI 1306264973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1871840165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 N UNIVERSITY DR APT 630",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242061",
"telephone_number": "305-282-7828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 N 46TH AVE",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330211726",
"telephone_number": "954-962-9022"
}
],
"practiceLocations": [
{
"address_1": "789 S Federal Hwy",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333161218",
"country_code": "US",
"telephone_number": "954-315-5784",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSSI",
"first_name": "JENNIFER",
"middle_name": "PAZ",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-06",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9579686",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "NY",
"license": "609629",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "382206",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "11015767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.