Provider Demographics
NPI:1255698932
Name:ROKA MANAGEMENT L.L.C.
Entity type:Organization
Organization Name:ROKA MANAGEMENT L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OPERATIONS DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:GUBBINS
Authorized Official - Last Name:ROSSI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:215-970-5629
Mailing Address - Street 1:10125 VERREE RD STE 203
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-3674
Mailing Address - Country:US
Mailing Address - Phone:215-970-5629
Mailing Address - Fax:215-970-5623
Practice Address - Street 1:241 W MAPLE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-2180
Practice Address - Country:US
Practice Address - Phone:215-970-5629
Practice Address - Fax:215-970-5623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010818L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty