Martin M Roche MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MARTIN M ROCHE MD PA

Practice address

500 SE 17TH St
Suite 100
Ft Lauderdale, FL 33316-2547

Phone

(954) 462-7558

Fax

(954) 525-5820

NPI assigned

Jun 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Martin M Roche, MD

Title

Medical Director

Phone

(954) 462-7558

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1003010380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SE 17TH ST",
            "address_2": "SUITE 100",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162547",
            "telephone_number": "954-462-7558",
            "fax_number": "954-525-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SE 17TH ST",
            "address_2": "SUITE 100",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162547",
            "telephone_number": "954-462-7558",
            "fax_number": "954-525-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN M ROCHE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-462-7558",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS OF FLORIDA",
            "identifier": "06962",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamia Bryana Mars
• Shereen-Gale Marsh, RN
• Marsha D Brown PHD P a
• Henrika Marshall-Youquoi
• Charles Virgil Martignoni III
• Martin Shansky MD PA
• Carol Martin-Mack, MSW
• Aracelys Martin, RN
• Brandi Martin
• Brianna Marie Martin

• Ophthalmology Physician in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.