LARRY S ROSEN (M.D.) – Obstetrics & Gynecology Physician, NPI 1104806868

LARRY S ROSEN (M.D.) is a healthcare provider. based in Voorhees, New Jersey. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials M.D.. They hold a License No. MA0407440 (NJ). The NPI Number for LARRY S ROSEN (M.D.) is 1104806868

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
LARRY S ROSEN (M.D.)
NPI
1104806868
Phone
(856) 772-2066
Address
2301 E EVESHAM RD
Enumeration Date
19 January 2006
Last Update Date
16 October 2014

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
6095616660
Graduation Year
1980 (46 years ago)
PAC ID
8426957887
Group Practice PAC ID
2961316328
Professional Enrollment ID
I20041019000699
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for LARRY S ROSEN (M.D.)

  • East Evesham Road, Staffordshire, Haines Corner, Voorhees Township, Camden County, New Jersey, 08003, United States

    SUITE 602

    VOORHEES, NJ 080434501

    Phone: (856) 772-2066

    Fax: (856) 772-9159

    Type: Location

  • PO BOX 536

    VOORHEES, NJ 080430536

    Phone: (856) 669-6050

    Fax: (856) 651-0794

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-10-19

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
I20041019000699IObstetrics/GynecologyNJTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08043)

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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: 2961316328View full group profile
NameSpecialtyState
Nurse PractitionerNJ
-NJ
-NY
Certified Nurse Midwife (Cnm)PA
O B S T E T R I C S/ G Y N E C O L O G YPA
Diagnostic RadiologyNJ
O B S T E T R I C S/ G Y N E C O L O G YPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YNJ
-PA

Reviews

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Frequently asked questions

What number should I use to identify LARRY S ROSEN (M.D.) for billing?
Administrative and clinical systems typically use NPI 1104806868 for LARRY S ROSEN (M.D.).
Should I treat LARRY S ROSEN (M.D.) as an active provider?
Patients and plans typically see LARRY S ROSEN (M.D.) as active in the national extract.
What type of care does LARRY S ROSEN (M.D.) provide?
LARRY S ROSEN (M.D.)'s profile centers on Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to LARRY S ROSEN (M.D.)?
The directory associates LARRY S ROSEN (M.D.) with Voorhees, New Jersey. Check all listed addresses for suites or satellite offices.
Why is information missing for LARRY S ROSEN (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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