NPIMap

Individual provider Active NPI

Hilda Rosa Roque-Dieguez, M.D.

  • Internal Medicine Physician
  • West New York, NJ
National Provider Identifier
1013006592
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05052300 Issued in NJ
Practice address
317 60TH St
West New York, NJ 07093-5412
Phone
(201) 864-0757
Fax
(201) 861-3126
NPI assigned
Oct 12, 2006
Last updated
Dec 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05052300 NJ Primary

Addresses

Primary practice location

317 60TH St
West New York, NJ 07093-5412

Mailing address

317 60TH St
West New York, NJ 07093-5412
Phone (201) 864-0757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622000788 NJ Practitioner - Internal Medicine 7517902307 Practice locations: West New York, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

317 60 St
West New York, NJ 07093-5412
Phone (201) 864-0757

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
Biosound Medical Services, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hilda.roquedieguez@direct.hobokenumc.md

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Hudson Community Action CorporationPassaic, NJ, CCN 311847 Federally qualified health center Corporate Director Oct 31, 2011
North Hudson Community Action CorporationJersey City, NJ, CCN 311848 Federally qualified health center Corporate Director Oct 31, 2011
North Hudson Community Action CorporationPassaic, NJ, CCN 311882 Federally qualified health center Corporate Director Oct 31, 2011
North Hudson Community Action CorporationHackensack, NJ, CCN 311886 Federally qualified health center Corporate Director Oct 31, 2011
North Hudson Community Action CorporationWest New York, NJ, CCN 311829 Federally qualified health center Corporate Director Oct 31, 2011
North Hudson Community Action CorporationSecaucus, NJ, CCN 311850 Federally qualified health center Corporate Director Oct 31, 2011
North Hudson Community Action CorporationEnglewood, NJ, CCN 311901 Federally qualified health center Corporate Director May 21, 2012
North Hudson Community Action CorporationUnion City, NJ, CCN 311849 Federally qualified health center Corporate Director Oct 31, 2011
North Hudson Community Action CorporationHarrison, NJ, CCN 311931 Federally qualified health center Corporate Director Feb 1, 2016

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356048000000",
    "number": "1013006592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935412",
            "telephone_number": "201-864-0757",
            "fax_number": "201-861-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935412",
            "telephone_number": "201-864-0757",
            "fax_number": "201-861-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE-DIEGUEZ",
        "first_name": "HILDA",
        "middle_name": "ROSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05052300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

Verify at the official NPI Registry.