Laura Blake Roth, PA-C
Laura Blake Roth, PA-C is a Physician Assistant in Hainesport, New Jersey. Qualified in 2021, 5 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 5
- Licensed in
- NJ
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
212 Creek Crossing BlvdHainesport, NJ 08036
Phone: (856) 206-4795
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Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 25MP00817500 (NJ) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X |
Record details
| NPI number | 1316614944 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | August 23, 2021 |
| Last updated in NPPES | November 27, 2024 |
| Certification date | November 27, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Virtua Medical Group, Pa — 1669 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Hainesport
-
Revti Patel, PA-C
17 Patriot Way, Hainesport, NJ 08036-2633 · (609) 556-2371