Active NPI
Edward P Rosa, MD
- Psychiatry Physician
- Coral Springs, FL
National Provider Identifier
1982760724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME71617
- Practice address
- 5451 N University Dr
Suite 102
Coral Springs, FL 33067-4641 - Phone
- (954) 757-7672
- Fax
- (954) 757-7670
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME71617 | FL | Primary |
Addresses
Primary practice location
5451 N University Dr
Suite 102
Coral Springs, FL 33067-4641
Mailing address
5451 N University Dr
Suite 102
Coral Springs, FL 33067-4641
Phone (954) 757-7672
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111117 | Other | FL | AMERIGROUP |
| 152284 | Other | FL | VALUE OPTIONS |
| 41672 | Other | FL | BSBC |
| 5388461 | Other | FL | AETNA PPO |
| 7351806 | Other | FL | GHI |
| 96273 | Other | FL | UNITED BEHAVIORAL |
| COMPSYCH | Other | FL | 259896 |
| 1086806 | Other | AETNA HMO | |
| 299334 | Other | FL | HARMONY |
| BENESIGHT | Other | FL | 41672 |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Ponce School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
10428 NW 58TH PL
Parkland, FL 33076-2504
Phone (954) 501-6496
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME71617 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Rosa Center for Mental Health PA | Psychiatry | Current | Accepting new patients |
Locations
5451 N University Dr
Ste 102
Coral Springs, FL 33067
Phone (305) 962-0274
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Coral Springs, FL
- NPI 1902044910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982760724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5451 N UNIVERSITY DR",
"address_2": "SUITE 102",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330674641",
"telephone_number": "954-757-7672",
"fax_number": "954-757-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5451 N UNIVERSITY DR",
"address_2": "SUITE 102",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330674641",
"telephone_number": "954-757-7672",
"fax_number": "954-757-7670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSA",
"first_name": "EDWARD",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME71617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "111117",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "152284",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSBC",
"identifier": "41672",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "5388461",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "7351806",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL",
"identifier": "96273",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "259896",
"identifier": "COMPSYCH",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1086806",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARMONY",
"identifier": "299334",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "41672",
"identifier": "BENESIGHT",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.