DR. FEDLENE LAROSE DO
NPI 1164210860
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 30, 2025
4190 CITY AVE, PHILADELPHIA, PA 19131(215) 871-6646 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Fedlene Larose Do NPPES

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

DR. FEDLENE LAROSE DO (NPI 1164210860) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1164210860
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. FEDLENE LAROSECredential: DO
Location Address4190 CITY AVEPhiladelphia, PA 19131-1626
Mailing Address173 Norman Rd Apt 1Newark, NJ 07106-3309 · (973) 336-7535
Sole ProprietorNo
Enumeration DateApril 30, 2025
NPPES CertifiedApril 30, 2025
NPI 1164210860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4190 CITY AVE, Philadelphia, PA 19131

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Neuromusculoskeletal Medicine & OMM
4190 CITY AVE
PHILADELPHIA, PA 19131
Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Orthopaedic Surgery
4190 CITY AVE
PHILADELPHIA, PA 19131
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Student in an Organized Health Care Education/Training Program
4190 CITY AVE
PHILADELPHIA, PA 19131
Otolaryngology
4190 CITY AVE, SUITE 526
PHILADELPHIA, PA 19131
Pediatrics
4190 CITY AVE, SUITE 540
PHILADELPHIA, PA 19131

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 Fedlene Larose's NPI number?

The NPI number for Fedlene Larose is 1164210860. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Where is Fedlene Larose located?

Fedlene Larose practices at 4190 City Ave, Philadelphia, PA 19131. The listed phone number is (215) 871-6646.

What is Fedlene Larose's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Fedlene Larose was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.