Kenneth Alan Rosen, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME16427 Issued in FL

Practice address

10300 SW 72ND St Ste 150
Miami, FL 33173-3001

Phone

(305) 279-6012

Fax

(305) 279-7709

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Leavitt Medical Associates of Florida Inc

  • Dermatology Physician
  • Miami, FL
  • NPI 1437317930
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982625406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 150",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733001",
            "telephone_number": "305-279-6012",
            "fax_number": "305-279-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 150",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733001",
            "telephone_number": "305-279-6012",
            "fax_number": "305-279-7709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 SW 87th Ct",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762231",
            "country_code": "US",
            "telephone_number": "305-279-6012 x21",
            "fax_number": "305-279-7709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6175 NW 153rd St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142457",
            "country_code": "US",
            "telephone_number": "305-557-6719",
            "fax_number": "305-279-7709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "KENNETH",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME16427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Davila-Sola DPM PA
• Amy T Rosemond
• Adam David Rosen, PHD
• Gary R Rosen, DDS
• Janet P Rosen, PSY.D
• Seth David Rosen, MD
• Suzan Rosen, APRN
• Ashley Lynn Rosenbaum, DMD
• David W Rosenbaum, M.D.
• Taylor Michele Rosenbaum, MD

• Dermatology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.