MRS. FRUMA RAIZEL ROTH PA-C
NPI 1629514187
Physician Assistant in Jackson, NJ

Active since January 09, 2017PECOS EnrolledAccepts Medicare Assignment
7 LANCASTER WAY, JACKSON, NJ 08527(718) 607-4348 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2026, Jan 9, 2017 (2 updates tracked since 2017).

About Mrs. Fruma Raizel Roth Pa-c NPPES

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

MRS. FRUMA RAIZEL ROTH PA-C (NPI 1629514187) is an individual physician assistant in Jackson, New Jersey, licensed in New Jersey (25MP00421300) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Monmouth Medical Center-southern Campus, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1629514187
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. FRUMA RAIZEL ROTHCredential: PA-C
Location Address7 LANCASTER WAYJackson, NJ 08527-1254
Mailing Address7 Lancaster WayJackson, NJ 08527-1254 · (718) 607-4348
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 9, 2017
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
NPI 1629514187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NJ · 25MP00421300
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7 LANCASTER WAY, Jackson, NJ 08527

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

Mrs. Fruma Raizel 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 ID5890072755
PECOS Enrollment IDI20170501002286
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.

Hospital Affiliations CMS Care Compare

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

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08527 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Fruma Roth's NPI number?

The NPI number for Fruma Roth is 1629514187. It was assigned to this individual provider in the NPPES registry on January 9, 2017.

Where is Fruma Roth located?

Fruma Roth practices at 7 Lancaster Way, Jackson, NJ 08527. The listed phone number is (718) 607-4348.

What is Fruma Roth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Fruma Roth enrolled in Medicare?

Yes. Fruma 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 Fruma Roth affiliated with any hospitals?

According to CMS data, Fruma Roth is affiliated with Monmouth Medical Center-Southern Campus.

When was this NPI record last updated?

The NPPES record for Fruma Roth was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.