Active NPI
W R Rosen Inc
Doing business as Restore POC
- Prosthetic/Orthotic Supplier
- Boca Raton, FL
National Provider Identifier
1912341744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- POR39
- Legal business name
- W R ROSEN INC
- Doing business as
- Restore POC
- Practice address
- 900 NW 13TH St
Ste 105
Boca Raton, FL 33486-2335 - Phone
- (561) 409-3685
- Fax
- (954) 447-7782
- NPI assigned
- Apr 23, 2013
- Last updated
- Apr 2, 2020
- 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
- Janet Woodall
- Title
- Director, Contracting
- Phone
- (336) 397-0993
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | PED27 | FL | |
| Prosthetic/Orthotic Supplier | 335E00000X | POR39 | FL | Primary |
Addresses
Primary practice location
900 NW 13TH St
Ste 105
Boca Raton, FL 33486-2335
Mailing address
2534 Empire Dr
Winston Salem, NC 27103-6710
Phone (336) 397-2165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017047100 | Medicaid | FL |
Other names 1
- Restore POC
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Charlotte, NC
- NPI 1750663837
Member Of
Locations
50 NE 26th Ave
Ste 206
Pompano Beach, FL 33062
Phone (954) 447-7779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585785600000",
"number": "1912341744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2534 EMPIRE DR",
"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": "900 NW 13TH ST",
"address_2": "STE 105",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862335",
"telephone_number": "561-409-3685",
"fax_number": "954-447-7782"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "W R ROSEN INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-23",
"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": "PED27",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "FL",
"license": "POR39",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017047100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Restore POC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 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.