Active NPI
Jonathan David Rose, M.D.
- Emergency Medicine Physician
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 142489
- Practice address
- 703 N Flamingo Rd
Pembroke Pines, FL 33028-1006 - Phone
- (954) 844-7120
- NPI assigned
- Oct 26, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 235909 | NY | |
| Emergency Medicine Physician | 207P00000X | 142489 | FL | Primary |
Addresses
Primary practice location
703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Mailing address
9035 Dulcetto CT
Boca Raton, FL 33496-3821
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jrose220526@mhsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1945 State Hwy 33
Neptune, NJ 07753-4859
Phone (954) 939-5000
Hospital & facility affiliations
- Jersey Shore University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142489 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Emergency Medicine | Current | Accepting new patients |
| Inphynet Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Barron Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Inphynet South Broward LLC | Emergency Medicine | Current | Accepting new patients |
| KBJ Emergency Medicine FPP | Emergency Medicine | Past | Accepting new patients |
| Kingsbrook Jewish Medical Center | Past | Accepting new patients |
Locations
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000
3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411
7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000
1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194
1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
101 Saint Andrews Ln
Fl 1
Glen Cove, NY 11542
Phone (516) 674-1812
27005 76th Ave
#222
New Hyde Park, NY 11040
Phone (718) 470-7260
300 Community Dr
Plandome, NY 11030
275 Moriches Rd
Saint James, NY 11780
Phone (516) 317-8913
972 Brush Hollow Rd
Westbury, NY 11590
Interoperability endpoints
- jrose220526@mhsdirect.net
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Manahawkin, NJ
- NPI 1790736940
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- Emergency Medicine Physician
- Hollywood, FL
- NPI 1871521880
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1164535464
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1609022656
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1992880322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9035 DULCETTO CT",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334963821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 N FLAMINGO RD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281006",
"telephone_number": "954-844-7120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "JONATHAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "235909",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "142489",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jrose220526@mhsdirect.net",
"affiliation": "N",
"address_1": "703 N Flamingo Rd",
"city": "Pembroke Pines",
"state": "FL",
"country_code": "US",
"postal_code": "330281006",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.