$re = '/(^[^\n"]*"[^"\n]*)\n((?1))/m';
$str = '090033ec82b13639,CPDM Initiated,Logistical,"There corrected.",Gul Y Serbest,Urology
090033ec82ae0c07,Initiated,NA,"To local testing
Rohit 3 to 4.",Julienne B Orr,Oncology
090033ec82b35fd0,Externally Initiated,NA,regulatory agency requests,Kenneth A Lord,Oncology';
$subst = "\1 \2";
$result = preg_replace($re, $subst, $str);
echo "The result of the substitution is ".$result;
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for PHP, please visit: http://php.net/manual/en/ref.pcre.php