Individual provider Active NPI

Coley Sheriff Rosenfeld, M.D.

  • Pediatrics Physician
  • Boca Raton, FL
National Provider Identifier
1881958452
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2012017457 Issued in MO
Practice address
9970 Central Park Blvd N Ste 203
Boca Raton, FL 33428-2236
Phone
(561) 487-1616
Fax
(561) 487-1619
NPI assigned
Jun 28, 2012
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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 2012017457 MO Primary

Addresses

Primary practice location

9970 Central Park Blvd N Ste 203
Boca Raton, FL 33428-2236

Mailing address

9970 Central Park Blvd N Ste 203
Boca Raton, FL 33428-2236
Phone (561) 487-1616

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
2012017457MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pediatrics of Boca Pediatrics PastSince Dec 6, 2020 Accepting new patients
Vitalmd Group Holding LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1881958452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N STE 203",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282236",
            "telephone_number": "561-487-1616",
            "fax_number": "561-487-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N STE 203",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282236",
            "telephone_number": "561-487-1616",
            "fax_number": "561-487-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIFF ROSENFELD",
        "first_name": "COLEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2012017457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.