Individual provider Active NPI

Jessica Rosado, PA

  • Physician Assistant
  • North Miami Beach, FL
National Provider Identifier
1891378105
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114122 Issued in FL
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

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210602001070 FL Practitioner - Physician Assistant 7911306592 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regency Endocrinology, Diabetes and Metabolism, Inc. CurrentSince Feb 1, 2026 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.