Organization Active NPI

Rosetta Genomics, Inc.

  • Clinical Medical Laboratory
  • Philadelphia, PA
National Provider Identifier
1962641563
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
030877 Issued in PA
Legal business name
ROSETTA GENOMICS, INC.
Practice address
3711 Market St
Suite 740
Philadelphia, PA 19104-5504
Phone
(215) 382-9000
Fax
(215) 382-0815
NPI assigned
Feb 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Mr. Ken Berlin
Title
Ceo
Phone
(888) 522-7971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 030877 PA Primary

Addresses

Primary practice location

3711 Market St
Suite 740
Philadelphia, PA 19104-5504

Mailing address

PO Box 11979
Newark, NJ 07101-4979
Phone (888) 522-7971

Other identifiers 1

IdentifierTypeStateIssuer
210242OtherPAHIGHMARK MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1962641563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11979",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071014979",
            "telephone_number": "888-522-7971",
            "fax_number": "215-382-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 MARKET ST",
            "address_2": "SUITE 740",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045504",
            "telephone_number": "215-382-9000",
            "fax_number": "215-382-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSETTA GENOMICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-522-7971",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "030877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK MEDICARE",
            "identifier": "210242",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.