Individual provider Active NPI

Rocio Ipanaque, PA-C

  • Medical Physician Assistant
  • Whitehall, PA
National Provider Identifier
1295374346
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA067787 Issued in PA
Practice address
2741 Macarthur Rd
Whitehall, PA 18052-3632
Phone
(610) 403-6000
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00553500 NJ
Medical Physician Assistant 363AM0700X MA067787 PA Primary

Addresses

Primary practice location

2741 Macarthur Rd
Whitehall, PA 18052-3632

Mailing address

214 Route 36
West Long Branch, NJ 07764-1305
Phone (732) 222-8000

Other practice location 1

214 Route 36
West Long Branch, NJ 07764-1305
Phone (732) 222-8000

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
I20230117000515 NJ Practitioner - Physician Assistant 9638540339 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00553500NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC CurrentSince Dec 1, 2025 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations

501 Washington Ave
Belleville, NJ 07109
Phone (862) 762-0585

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

276 Passaic Ave
#A
Kearny, NJ 07032
Phone (201) 231-8880

175 High St
Newton, NJ 07860
Phone (973) 383-2121

214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000

Interoperability endpoints

  • Direct secure messaging: rocio.ipanaque.1@23060.direct.athenahealth.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": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1295374346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ROUTE 36",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641305",
            "telephone_number": "732-222-8000",
            "fax_number": "732-963-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 MACARTHUR RD",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523632",
            "telephone_number": "610-403-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Route 36",
            "address_purpose": "LOCATION",
            "city": "West Long Branch",
            "state": "NJ",
            "postal_code": "077641305",
            "country_code": "US",
            "telephone_number": "732-222-8000",
            "fax_number": "732-963-2246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IPANAQUE",
        "first_name": "ROCIO",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00553500",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA067787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, PA

Sources for this page

Verify at the official NPI Registry.