Individual provider Active NPI

Gerald Roskin, MD

  • Psychiatry Physician
  • Boca Raton, FL
National Provider Identifier
1992779979
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
014173 Issued in ME
Practice address
500 S Ocean Blvd
Boca Raton, FL 33432-6263
Phone
(561) 368-1043
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 014173 ME Primary

Addresses

Primary practice location

500 S Ocean Blvd
Boca Raton, FL 33432-6263

Mailing address

500 S Ocean Blvd
Boca Raton, FL 33432-6263
Phone (561) 368-1043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014173MEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acadia Healthcare, Inc Past Accepting new patients
Providence Health & Services - Washington Psychiatry PastSince Sep 1, 2011 Accepting new patients
State of Maine Past Accepting new patients
State of Montana PastSince Jul 6, 2015 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1992779979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S OCEAN BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326263",
            "telephone_number": "561-368-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S OCEAN BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326263",
            "telephone_number": "561-368-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSKIN",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "014173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 24, 2011; 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.