Mrs Fruma Raizel Roth, PA-C in Jackson, NJ - Medicare Physician Assistant

Mrs Fruma Raizel Roth, PA-C is a medicare enrolled "Physician Assistant" in Jackson, New Jersey. Her current practice location is 7 Lancaster Way, Jackson, New Jersey. You can reach out to her office (for appointments etc.) via phone at (718) 607-4348.

Mrs Fruma Raizel Roth is licensed to practice in New Jersey (license number 25MP00421300) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629514187.

Contact Information

	Mrs Fruma Raizel Roth, PA-C
	7 Lancaster Way, Jackson, NJ 08527-1254
	(718) 607-4348
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Fruma Raizel Roth
Gender	Female
Speciality	Physician Assistant
Location	7 Lancaster Way, Jackson, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629514187
Provider Enumeration Date: 01/09/2017
Last Update Date: 01/20/2026

Medicare PECOS Information:

PECOS PAC ID: 5890072755
Enrollment ID: I20170501002286

Medical Identifiers

Medical identifiers for Mrs Fruma Raizel Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629514187	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	25MP00421300 (New Jersey)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Fruma Raizel Roth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Fruma Raizel Roth, PA-C 7 Lancaster Way, Jackson, NJ 08527-1254 Ph: (718) 607-4348	Mrs Fruma Raizel Roth, PA-C 7 Lancaster Way, Jackson, NJ 08527-1254 Ph: (718) 607-4348

Reviews and Comments

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Mrs Fruma Raizel Roth, PA-C - Medicare Physician Assistant in Jackson, NJ