Individual provider Active NPI

Laura Lynn Roetman, FNP-C

  • Women's Health Nurse Practitioner
  • Bridgewater, NJ
National Provider Identifier
1205607231
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26NJ14942300 Issued in NJ
Practice address
215 Union Ave Ste a
Bridgewater, NJ 08807-3063
Phone
(908) 722-2900
NPI assigned
Jan 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ14942300 NJ
Women's Health Nurse Practitioner 363LW0102X 26NJ14942300 NJ Primary

Addresses

Primary practice location

215 Union Ave Ste a
Bridgewater, NJ 08807-3063

Mailing address

196 Speedwell Ave
Morristown, NJ 07960-2934
Phone (973) 539-1364

Other practice location 1

196 Speedwell Ave
Morristown, NJ 07960-2934
Phone (973) 539-1364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250502000491 NJ Practitioner - Nurse Practitioner 1759807795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

215 Union Ave
Bridgewater, NJ 08807-3063
Phone (908) 722-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ14942300NJMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Women'S Health Group, LLC Nurse Practitioner CurrentSince Feb 17, 2025 Accepting new patients
Regional Womens Health Group LLC CurrentSince Feb 17, 2025 Accepting new patients
Somerset OBGYN Association CurrentSince Nov 24, 2024 Accepting new patients

Locations

215 Union Ave
Ste A
Bridgewater, NJ 08807
Phone (908) 722-2900

215 Union Ave
Bridgewater, NJ 08807
Phone (908) 685-1818

1 New Amwell Rd
Hillsborough, NJ 08844
Phone (908) 874-5900

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

Interoperability endpoints

  • Direct secure messaging: laura.roetmannp.p11@direct.ppncsnj.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1205607231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 SPEEDWELL AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079602934",
            "telephone_number": "973-539-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 UNION AVE STE A",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073063",
            "telephone_number": "908-722-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 Speedwell Ave",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079602934",
            "country_code": "US",
            "telephone_number": "973-539-1364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROETMAN",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14942300",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ14942300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.