W R Rosen Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

PO00039 Issued in FL

Legal business name

W R ROSEN INC

Practice address

9921 Pines Blvd
Pembroke Pines, FL 33024-6174

Phone

(954) 447-7779

Fax

(954) 447-7782

NPI assigned

Sep 11, 2008

Organization subpart

No

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

Authorized official

Name

Janet Woodall

Title

Director, Contracting

Phone

(336) 397-0993

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Restore POC Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Level Four Orthotics & Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Charlotte, NC
  • NPI 1922048313

  Member Of

  NPD member

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1902055262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 EMPIRE DRIVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036710",
            "telephone_number": "336-397-2165",
            "fax_number": "336-397-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9921 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246174",
            "telephone_number": "954-447-7779",
            "fax_number": "954-447-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W R ROSEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "WOODALL",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "DIRECTOR, CONTRACTING",
        "authorized_official_telephone_number": "336-397-0993"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "PO00039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012052200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore POC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roberte Voltaire, FNP
• Mary Voss, RN
• VR Dental Pembroke Pines LLC
• Andy Tuan-Anh Vu, D.D.S.
• Morgan Vyas
• Patricia Wade-Gibbs, M.D.
• Julene Wade
• Trameka Wade
• Ashna Wadhawan, MD
• Aaron Michael Wagner, MD

• Prosthetic/Orthotic Supplier in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

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