Fruma Raizel Roth, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00421300 Issued in NJ

Practice address

7 Lancaster Way
Jackson, NJ 08527-1254

Phone

(718) 607-4348

NPI assigned

Jan 9, 2017

Last updated

Jan 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitaltrak LLCGroup PAC ID 6709397250, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Monmouth Medical Center-Southern Campus Hospital, Lakewood, NJ, CCN 310084

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: fruma.roth.1@11216.direct.athenahealth.com

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.

• Vitaltrak LLC

  • Internal Medicine Physician
  • Lakewood, NJ
  • NPI 1164221271
  Medicare reassignment Care Compare group
• Emergency Physician Associates of North Jersey P C

  • Emergency Medicine Physician
  • Summit, NJ
  • NPI 1497783419
  Medicare reassignment
• Lakewood Immediate Care

  • Internal Medicine Physician
  • Lakewood, NJ
  • NPI 1548636301
  Medicare reassignment
• Lakewood Medical Associates

  dba Lakewood Medical associates, LLC

  • Primary Care Clinic/Center
  • Jackson, NJ
  • NPI 1851770606
  Medicare reassignment
• Pediatric Affiliates PA

  • Pediatrics Physician
  • Toms River, NJ
  • NPI 1669404018
  NPD (past)

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

• Monmouth Medical Center Inc

  dba Monmouth Medical Center Southern Campus

  • General Acute Care Hospital
  • Lakewood, NJ
  • NPI 1225133473
  Care Compare affiliation
• Monmouth Medical Center Inc

  • General Acute Care Hospital
  • Long Branch, NJ
  • NPI 1609983790
  Care Compare affiliation

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1629514187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LANCASTER WAY",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271254",
            "telephone_number": "718-607-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LANCASTER WAY",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085271254",
            "telephone_number": "718-607-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "FRUMA",
        "middle_name": "RAIZEL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00421300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronan Dialysis LLC (Jackson Township Dialysis)
• Joanne L Rosenberg, M.A.
• Rachel Rosenberg
• Keith Brian Rosenthal, DPM
• Miriam Rotberg, LCSW
• Chava Rothenberg, BCBA
• Shireet Rotkin, MA
• Jeannette Rotondi, LCSW
• Scott Vincent Royer, MA, ATC, LAT
• James Aaron Royle Jr., D.C.

• Physician Assistant in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.