Individual provider Active NPI

Larry Sol Rosenberg, MD

  • Specialist
  • West Berlin, NJ
National Provider Identifier
1124008651
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA46475 Issued in NJ
Practice address
798 S Route 73
West Berlin, NJ 08091-2620
Phone
(856) 809-9001
Fax
(856) 809-9003
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA46475 NJ Primary

Addresses

Primary practice location

798 S Route 73
West Berlin, NJ 08091-2620

Mailing address

798 S Route 73
West Berlin, NJ 08091-2620
Phone (856) 809-9001

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
I20060830000132 NJ Practitioner - Orthopedic Surgery 1658374079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

798 S Route 73
West Berlin, NJ 08091

798 S Route 73
West Berlin, NJ 08091-2620
Phone (856) 809-9001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA46475NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic and Sports Specialists, PC Specialist CurrentSince Aug 16, 2006 Accepting new patients
Central Physicians & Surgeons PA Past Accepting new patients

Locations

289 White Horse Pike
Ste 101
Atco, NJ 08004
Phone (856) 767-2000

798 S Route 73
West Berlin, NJ 08091
Phone (856) 767-3337

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1341964800000",
    "number": "1124008651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 S ROUTE 73",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080912620",
            "telephone_number": "856-809-9001",
            "fax_number": "856-809-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 S ROUTE 73",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080912620",
            "telephone_number": "856-809-9001",
            "fax_number": "856-809-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "LARRY",
        "middle_name": "SOL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA46475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Berlin, NJ

Sources for this page

Verify at the official NPI Registry.