Active NPI
Richard M Rosen, DO, PA
- Family Medicine Physician
- Cooper City, FL
National Provider Identifier
1881920569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS3685
- Legal business name
- RICHARD M ROSEN, DO, PA
- Practice address
- 9900 Stirling Road
Suite 102
Cooper City, FL 33024 - Phone
- (954) 322-2245
- Fax
- (954) 322-2248
- NPI assigned
- Oct 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard M Rosen, D.O.
- Title
- Owner
- Phone
- (954) 322-2245
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS3685 | FL | Primary |
Addresses
Primary practice location
9900 Stirling Road
Suite 102
Cooper City, FL 33024
Mailing address
9900 Stirling Road
Suite 102
Cooper City, FL 33024
Phone (954) 322-2245
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206378 | Other | FL | AVMED |
| 172536 | Other | FL | JMH |
| 82090 | Other | FL | BCBS |
| 1020609 | Other | FL | CAREPLUS |
| 005379 | Other | FL | NHP |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256860800000",
"number": "1881920569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 STIRLING ROAD",
"address_2": "SUITE 102",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "33024",
"telephone_number": "954-322-2245",
"fax_number": "954-322-2248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 STIRLING ROAD",
"address_2": "SUITE 102",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "33024",
"telephone_number": "954-322-2245",
"fax_number": "954-322-2248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD M ROSEN, DO, PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-30",
"last_updated": "2009-10-30",
"status": "A",
"authorized_official_last_name": "ROSEN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-322-2245",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "OS3685",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "206378",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JMH",
"identifier": "172536",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "82090",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREPLUS",
"identifier": "1020609",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "005379",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cooper City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.