Organization Active NPI

Jeffrey D. Rosenbaum D.O., P.C.

  • Family Medicine Physician
  • Livonia, MI
National Provider Identifier
1972830479
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101008667 Issued in MI
Legal business name
JEFFREY D. ROSENBAUM D.O., P.C.
Practice address
28481 7 Mile Rd
Livonia, MI 48152-3501
Phone
(248) 476-1010
Fax
(248) 476-9239
NPI assigned
Nov 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Dr. Jeffrey Dale Rosenbaum, D.O.
Title
President
Phone
(248) 476-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5101008667 MI Primary

Addresses

Primary practice location

28481 7 Mile Rd
Livonia, MI 48152-3501

Mailing address

28481 7 Mile Rd
Livonia, MI 48152-3501
Phone (248) 476-1010

National Provider Directory

National Provider Directory

Locations

28481 7 Mile Rd
Livonia, MI 48152
Phone (248) 476-1010

18618 Middlebelt Rd
Ste 102
Livonia, MI 48152
Phone (248) 476-1010

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1972830479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28481 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523501",
            "telephone_number": "248-476-1010",
            "fax_number": "248-476-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28481 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523501",
            "telephone_number": "248-476-1010",
            "fax_number": "248-476-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D. ROSENBAUM D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "ROSENBAUM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-476-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.