Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Fruma Raizel Roth, PA-C

Individual provider Physician Assistant · NPI 1629514187

Mrs. Fruma Raizel Roth, PA-C is a Physician Assistant in Jackson, New Jersey. Qualified in 2017, 9 years ago. Practices with Vitaltrak LLC, a 2-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7 Lancaster Way
Jackson, NJ 08527-1254
Phone: (718) 607-4348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00421300 (NJ)

Record details

NPI number1629514187
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 9, 2017
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Vitaltrak Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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