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LAURA BLAKE ROTH PA-C
NPI 1316614944
Physician Assistant - Medical in Hainesport, NJ

Active since August 23, 2021PECOS EnrolledAccepts Medicare Assignment
212 CREEK CROSSING BLVD., HAINESPORT, NJ 08036(856) 206-4795 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laura Blake Roth Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA BLAKE ROTH PA-C (NPI 1316614944) is an individual medical provider in Hainesport, New Jersey, licensed in New Jersey (25MP00817500) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Virtua Mount Holly Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1316614944
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLAURA BLAKE ROTHCredential: PA-C
Location Address212 CREEK CROSSING BLVD.Hainesport, NJ 08036
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 247-7210 · Fax (856) 247-7511
Phone(856) 206-4795
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 23, 2021
Last NPPES UpdateNovember 27, 2024
NPPES CertifiedNovember 27, 2024
✔ NPI 1316614944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NJ · 25MP00817500
212 CREEK CROSSING BLVD., Hainesport, NJ 08036
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laura Blake Roth Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658761606
PECOS Enrollment IDI20240427000028
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
91 services65 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
52 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services35 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Roth's NPI number?

The NPI number for Laura Roth is 1316614944. It was assigned to this individual provider in the NPPES registry on August 23, 2021.

Where is Laura Roth located?

Laura Roth practices at 212 Creek Crossing Blvd., Hainesport, NJ 08036. The listed phone number is (856) 206-4795.

What is Laura Roth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Laura Roth enrolled in Medicare?

Yes. Laura Roth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Laura Roth affiliated with any hospitals?

According to CMS data, Laura Roth is affiliated with Virtua Mount Holly Hospital.

When was this NPI record last updated?

The NPPES record for Laura Roth was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.