Active NPI
Jessica Rosado, PA
- Physician Assistant
- North Miami Beach, FL
National Provider Identifier
1891378105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9114122
- Practice address
- 2075 NE 164TH St Apt 212
North Miami Beach, FL 33162-4145 - Phone
- (786) 738-3685
- NPI assigned
- May 4, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9114122 | FL | Primary |
Addresses
Primary practice location
2075 NE 164TH St Apt 212
North Miami Beach, FL 33162-4145
Mailing address
2075 NE 164TH St Apt 212
North Miami Beach, FL 33162-4145
Phone (786) 738-3685
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regency Endocrinology, Diabetes and Metabolism, Inc. | Current | Accepting new patients |
Locations
10150 Hagen Ranch Rd
Ste 201
Boynton Beach, FL 33437
Phone (561) 374-8969
752 Stirling Center Pl
Ste 1008
Lake Mary, FL 32746
Phone (407) 333-1212
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AAEBDA
Organizations & group practices 3
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Lake Mary, FL
- NPI 1215957741
-
- Medical Specialty Clinic/Center
- Hollywood, FL
- NPI 1457296212
-
- Specialist
- Boynton Beach, FL
- NPI 1922009232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1891378105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 NE 164TH ST APT 212",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331624145",
"telephone_number": "786-738-3685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 NE 164TH ST APT 212",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331624145",
"telephone_number": "786-738-3685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSADO",
"first_name": "JESSICA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-04",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9114122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.