Individual provider Active NPI

Charles Vincent Roche III, M.D.

  • Internal Medicine Physician
  • Marmora, NJ
National Provider Identifier
1477680304
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08665700 Issued in NJ
Practice address
100 Route US 9 S
Marmora, NJ 08223-1285
Phone
(609) 536-3020
NPI assigned
Feb 27, 2007
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08665700 NJ Primary

Addresses

Primary practice location

100 Route US 9 S
Marmora, NJ 08223-1285

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

336 96th St Ste 1
Stone Harbor, NJ 08247-1439
Phone (099) 670-0706

Other practice location 2

3806 Bayshore Rd Ste 101
North Cape May, NJ 08204-3208
Phone (609) 898-7447

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315000018 NJ Practitioner - Internal Medicine 8022101674 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cooper Care Alliance, PCGroup PAC ID 5890110563, 118 clinicians

Practice addresses (Care Compare)

336 96TH St
Suite 1
Stone Harbor, NJ 08247-1439
Phone (609) 967-0070

3806 Bayshore Rd
Suite 101
North Cape May, NJ 08204-3208
Phone (609) 898-7447

901 Route 168
Suite 210
Turnersville, NJ 08012-3203
Phone (856) 536-1515

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08665700NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Physicians Associates PA Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Shore Hospitalists Associates PA Hospitalist CurrentSince Jan 15, 2015 Accepting new patients
Cooper Care Alliance, PC CurrentSince Mar 1, 2025 Accepting new patients
Shore Memorial Physicians Group PC CurrentSince May 1, 2013 Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Internal Medicine Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Family Physicians at Burlington Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Hera Inpatient Services Internal Medicine Past Accepting new patients

Locations

1816 Route 541
Ste 102
Burlington, NJ 08016
Phone (609) 747-0870

2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000

100 Route US 9 S
Marmora, NJ 08223
Phone (609) 536-3020

3806 Bayshore Rd
Ste 101
North Cape May, NJ 08204
Phone (609) 889-1900

2605 Shore Rd
Northfield, NJ 08225
Phone (609) 365-5300

336 96th St
Ste 1
Stone Harbor, NJ 08247
Phone (609) 967-0070

901 Route 168
Ste 210
Turnersville, NJ 08012
Phone (856) 227-1221

Interoperability endpoints

  • Direct secure messaging: charlesroche@crhs.allscriptsdirect.net
  • Direct secure messaging: croche184726@direct.cooperhealth.edu
  • FHIR API: https://api.platform.athenahealth.com/4024/brand/1/csg/22/fhir/r4

Organizations & group practices 9

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1477680304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935",
            "fax_number": "732-790-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROUTE US 9 S",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231285",
            "telephone_number": "609-536-3020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "336 96th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Stone Harbor",
            "state": "NJ",
            "postal_code": "082471439",
            "country_code": "US",
            "telephone_number": "099-670-0706",
            "fax_number": "609-967-0077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3806 Bayshore Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "North Cape May",
            "state": "NJ",
            "postal_code": "082043208",
            "country_code": "US",
            "telephone_number": "609-898-7447",
            "fax_number": "609-898-1912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "CHARLES",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08665700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marmora, NJ

Sources for this page

Verify at the official NPI Registry.