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ROBERT A. ROSEN MD PA
NPI 1073902300
Clinic/Center - Primary Care in Southwest Ranches, FL

Active since January 09, 2015CLIA 10D1079440 · Waiver
4929 SW 148TH AVE, SOUTHWEST RANCHES, FL 33330(954) 252-5020(954) 434-7210 Get Directions Write a Review

NPPES record last updated: January 9, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Robert A. Rosen Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT A. ROSEN MD PA (NPI 1073902300) is a healthcare organization registered as a primary care in Southwest Ranches, Florida and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through January 30, 2028 and lists Robert Alan Rosen, Physician, as its authorized official.

NPPES Registry Identity

NPI1073902300
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameROBERT A. ROSEN MD PA
Location Address4929 SW 148TH AVESouthwest Ranches, FL 33330-2400
Mailing Address4929 Sw 148th AveSouthwest Ranches, FL 33330-2400 · (954) 252-5020 · Fax (954) 434-7210
Phone(954) 252-5020
Fax(954) 434-7210
Organization SubpartNo
Authorized OfficialRobert Alan RosenPhysician · (954) 252-5020
Enumeration DateJanuary 9, 2015
✔ NPI 1073902300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/CenterTaxonomy 261Q00000X · License ME75909 (FL)
4929 SW 148TH AVE, Southwest Ranches, FL 33330
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1079440

Robert A Rosen MD PA · Davie, FL
Active · expires Jan 30, 2028
CLIA Number10D1079440
Laboratory TypeOther
Certificate Effective DateJanuary 31, 2026
Certificate Expiration DateJanuary 30, 2028
Laboratory DirectorRobert A. Rosen
Laboratory Phone(954) 252-5020
Laboratory LocationRobert A Rosen MD PA4929 SW 148th Ave, Davie, FL 33330
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT ALAN ROSEN MD
Internal Medicine
4929 SW 148TH AVE
SOUTHWEST RANCHES, FL 33330
Broward County (954) 252-5020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert A. Rosen MD PA's NPI number?

The NPI number for Robert A. Rosen MD PA is 1073902300. It was assigned to this organization in the NPPES registry on January 9, 2015.

Where is Robert A. Rosen MD PA located?

Robert A. Rosen MD PA is located at 4929 SW 148th Ave, Southwest Ranches, FL 33330. The listed phone number is (954) 252-5020.

What is Robert A. Rosen MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Robert A. Rosen MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1079440) is associated with this NPI, valid through January 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Robert A. Rosen MD PA was last updated on January 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.