Natalie Elizabeth Roche

Individual provider Active NPI Obstetrics & Gynecology Physician · Newark, NJ

NPI 1093809170 · NPPES record last updated Jan 25, 2022

Key facts

NPI
1093809170
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
25MA07031200 (NJ)
Practice address
140 Bergen St
Acc Level C
Newark, NJ 07103-2425
Phone
(973) 972-2700
Fax
(973) 972-2739
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Obstetrics/Gynecology
Education
Icahn School of Medicine at Mount Sinai, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician Associates of New Jersey Inc (374 clinicians)

Practice addresses (Care Compare)

140 Bergen St
Newark, NJ 07103-2425
Phone (973) 972-9000

Hospital & facility affiliations

  • The University Hospital Hospital · Newark, NJ · CCN 310119

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110215000068 NJ Practitioner - Obstetrics/Gynecology 6103006770 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07031200NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Community Health Centers, Inc Current
since Jun 1, 2021
Accepting new patients
Newark Community Health Centers, Inc. Current Accepting new patients
University Physician Associates of New Jersey Inc Current
since Feb 14, 2000
Accepting new patients
University Physician Associates of New Jersey Inc Obstetrics & Gynecology Current
since Feb 14, 2000
Accepting new patients

Locations

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

741 Broadway
Newark, NJ 07104
Phone (973) 483-1300

140 Bergen St
Newark, NJ 07103
Phone (973) 972-0320

30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037

30 Bergen St
#12
Newark, NJ 07107
Phone (973) 972-0037

140 Bergen St
#C
Newark, NJ 07103
Phone (973) 972-2700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA07031200 NJ Yes

Addresses

Primary practice location

140 Bergen St
Acc Level C
Newark, NJ 07103-2425

Mailing address

30 Bergen St
Admc 12 1205
Newark, NJ 07107-3000

Other identifiers

IdentifierTypeStateIssuer
8192308MedicaidNJ

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address nroche7200@direct.uhnj.org Direct University Hospital

Other providers in Newark, NJ

All providers in Newark, NJ · Obstetrics & Gynecology Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.