Individual provider Active NPI

Gary Rosenbaum, MD

  • Plastic Surgery Physician
  • Miami Beach, FL
National Provider Identifier
1922141423
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME60122 Issued in FL
Practice address
4302 Alton Rd
Suite #420
Miami Beach, FL 33140-2891
Phone
(305) 538-7726
Fax
(305) 538-7725
NPI assigned
Feb 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME60122 FL Primary

Addresses

Primary practice location

4302 Alton Rd
Suite #420
Miami Beach, FL 33140-2891

Mailing address

4302 Alton Road
Suite #420
Miami Beach, FL 33140
Phone (305) 538-7726

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110408000380 FL Practitioner - Plastic and Reconstructive Surgery 8628252004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4302 Alton Rd
Suite 740
Miami, FL 33140-2893
Phone (305) 538-7726

4308 Alton Rd
Suite 720
Miami Beach, FL 33140-2849

4308 Alton Rd
Suite 720
Miami Beach, FL 33140-4556

4308 Alton Rd
Suite 720
Miami, FL 33140-4557

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Team Support PLLC Plastic Surgery Current Accepting new patients
Gary J. Rosenbaum, M.D., P.a. CurrentSince Oct 1, 2010 Accepting new patients
Lsu Medical Center Past Accepting new patients

Locations

4302 Alton Rd
Ste 740
Miami Beach, FL 33140
Phone (305) 531-6030

4308 Alton Rd
Ste 720
Miami Beach, FL 33140
Phone (305) 405-6910

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922141423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALTON ROAD",
            "address_2": "SUITE #420",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33140",
            "telephone_number": "305-538-7726",
            "fax_number": "305-538-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "SUITE #420",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "305-538-7726",
            "fax_number": "305-538-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME60122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.