Individual provider Active NPI

Mary Kathryn Roccato, MD

  • Gastroenterology Physician
  • Moorestown, NJ
National Provider Identifier
1770080509
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA11188400 Issued in NJ
Practice address
401 Young Ave Ste 275a
Moorestown, NJ 08057-3130
Phone
(856) 206-4786
Fax
(856) 206-4789
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA11188400 NJ Primary

Addresses

Primary practice location

401 Young Ave Ste 275a
Moorestown, NJ 08057-3130

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 206-4786

Other practice location 1

1113 Hospital Dr Ste 203
Willingboro, NJ 08046-1129
Phone (609) 835-3624

Other practice location 2

Cooper University Hospital
501 Fellowship Road
Mt. Laurel, NJ 08054
Phone (856) 642-2133

Other practice location 3

128 Route 70, Suite 1B - Right
Medford, NJ 08055
Phone (856) 206-4786

Other names 1

  • Mary Kate Roccato Other name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address mroccato231692@directvirtua.org
Direct Messaging Address mroccato231692@directvirtua.org
Direct Messaging Address mroccato231692@directvirtua.org

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
I20241007002631 NJ Practitioner - Gastroenterology 9537690102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Drexel University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

175 Madison Ave
Mount Holly, NJ 08060-2038

218 Sunset Rd
FL 5
Willingboro, NJ 08046-1110
Phone (609) 444-0359

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

  • Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy88
Upper gastrointestinal (GI) endoscopy for acid reflux70

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11188400NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Aug 1, 2024 Accepting new patients
Virtua Medical Group, PA CurrentSince Aug 1, 2024 Accepting new patients
Virtua Medical Group, PA Gastroenterology Current Accepting new patients
Mt Laurel Endoscopy Center L P Past Accepting new patients
The Regents of the University of California-Irvine Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335

128 Route 70
Ste 1B
Medford, NJ 08055
Phone (856) 206-4786

401 Young Ave
Ste 275A
Moorestown, NJ 08057
Phone (856) 206-4786

1113 Hospital Dr
Ste 203
Willingboro, NJ 08046
Phone (609) 835-3624

Interoperability endpoints

  • Direct secure messaging: mroccato231692@directvirtua.org

Organizations & group practices 5

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 4

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1770080509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-206-4786",
            "fax_number": "856-206-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 YOUNG AVE STE 275A",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573130",
            "telephone_number": "856-206-4786",
            "fax_number": "856-206-4789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 Hospital Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080461129",
            "country_code": "US",
            "telephone_number": "609-835-3624",
            "fax_number": "609-835-3628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Cooper University Hospital",
            "address_2": "501 Fellowship Road",
            "address_purpose": "LOCATION",
            "city": "Mt. Laurel",
            "state": "NJ",
            "postal_code": "08054",
            "country_code": "US",
            "telephone_number": "856-642-2133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 Route 70, Suite 1B - Right",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "08055",
            "country_code": "US",
            "telephone_number": "856-206-4786",
            "fax_number": "856-206-4789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCCATO",
        "first_name": "MARY KATHRYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA11188400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mroccato231692@directvirtua.org",
            "affiliation": "N",
            "address_1": "128 Route 70, Suite 1B - Right",
            "city": "Medford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mroccato231692@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 275A",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mroccato231692@directvirtua.org",
            "affiliation": "N",
            "address_1": "1113 Hospital Dr Ste 203",
            "city": "Willingboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080461129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY KATE",
            "last_name": "ROCCATO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.