Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark Rosenberg, MD

Individual provider Family Medicine Physician · NPI 1053412767

Dr. Mark Rosenberg, MD is a Family Practice in Cranston, Rhode Island. Qualified in 1996, 30 years ago. Practices with Family Health and Sports Medicine LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
30
Licensed in
RI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

725 Reservoir Ave Ste 102
Cranston, RI 02910-4448
Phone: (401) 943-6910
Fax: (401) 946-5130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD09624 (RI)

Record details

NPI number1053412767
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 26, 2006
Last updated in NPPESApril 11, 2016
Mailing address725 Reservoir Ave, Suite 102, Cranston, RI 02910-4448

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Family Health And Sports Medicine Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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