JORDAN ROSEN – Dermatology Physician, NPI 1588124283

JORDAN ROSEN is a healthcare provider. based in Miami, Florida. specializing in DERMATOLOGY. They hold a License No. ME160909 (FL). The NPI Number for JORDAN ROSEN is 1588124283

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN ROSEN
NPI
1588124283
Phone
(305) 243-9741
Address
1611 NW 12TH AVE
Enumeration Date
20 March 2019
Last Update Date
6 May 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
9549980345
Graduation Year
2019 (7 years ago)
PAC ID
6305209909
Group Practice PAC ID
5991102154
Professional Enrollment ID
I20230830001064
Address ID
FL333282001DA3501XDRXX402
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

1,366 DERMATOLOGY in FL

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Provider Addresses for JORDAN ROSEN

  • Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    MIAMI, FL 331361005

    Phone: (305) 243-9741

    Type: Mailing

  • 3501 S UNIVERSITY DR STE 5

    DAVIE, FL 333282001

    Phone: (954) 998-0345

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 133 Open Payments records for all available years, with a total value of $2,904.

Total Amount is formed as General ($2,904) + Research ($0) + Ownership ($0) = $2,904.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: GENZYME CORPORATION ($310).

Total Amount

$2,904

General + Research + Ownership

Payments

133

Total payment records

General Amount

$2,904

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230830001064IDermatologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths3312$0
99213Established patient office or other outpatient visit, 20-29 minutes3125$0
11102Biopsy of related skin growth, first growth2926$0
11103Biopsy of related skin growth, each additional growth2615$0
17000Destruction of precancer skin growth, 1 growth2117$0
View full utilization report →

Insurance plans in this area (ZIP 33136)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991102154View full group profile
NameSpecialtyState
Physician AssistantFL
D E R M A T O L O G YFL
D E R M A T O L O G YFL
Physician AssistantFL

Reviews

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Frequently asked questions

What is the registry number for JORDAN ROSEN?
The registry entry for JORDAN ROSEN shows NPI 1588124283.
Does the public listing show JORDAN ROSEN as active?
JORDAN ROSEN's NPI record reflects an active status in NPPES.
How should patients interpret JORDAN ROSEN's specialty?
The extract shows Dermatology Physician for JORDAN ROSEN. Clinical services aligned with this taxonomy classification.
Is JORDAN ROSEN tied to Miami, Florida?
If you are local to Miami, Florida, JORDAN ROSEN may be relevant to your search.
Why is information missing for JORDAN ROSEN?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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