Individual provider Active NPI

Larry S Rosen, M.D.

  • Obstetrics & Gynecology Physician
  • Voorhees, NJ
National Provider Identifier
1104806868
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA0407440 Issued in NJ
Practice address
2301 E Evesham Rd
Suite 602
Voorhees, NJ 08043-4501
Phone
(856) 772-2066
Fax
(856) 772-9159
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA0407440 NJ Primary

Addresses

Primary practice location

2301 E Evesham Rd
Suite 602
Voorhees, NJ 08043-4501

Mailing address

PO Box 536
Voorhees, NJ 08043-0536
Phone (856) 669-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019000699 NJ Practitioner - Obstetrics/Gynecology 8426957887 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07747800NJMDEmergency Medicine Physician
MA0407440NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Women's Health Group, LLC Obstetrics & Gynecology CurrentSince Jan 1, 2004 Accepting new patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Jan 1, 2004 Accepting new patients

Locations

777 S White Horse Pike
Ste A1
Hammonton, NJ 08037
Phone (609) 561-6660

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

188 Fries Mill Rd
Ste B1
Turnersville, NJ 08012
Phone (856) 629-1400

2301 E Evesham Rd
Ste 602
Voorhees, NJ 08043
Phone (856) 772-1500

2301 E Evesham Rd
Ste 305
Voorhees, NJ 08043
Phone (609) 772-2066

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

Organizations & group practices 2

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1104806868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080430536",
            "telephone_number": "856-669-6050",
            "fax_number": "856-651-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD",
            "address_2": "SUITE 602",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434501",
            "telephone_number": "856-772-2066",
            "fax_number": "856-772-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "LARRY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA0407440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.