Individual provider Active NPI

Graciela Fernanda Loaiza Roque, DVM

  • Veterinarian
  • Jersey City, NJ
National Provider Identifier
1134062557
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
29VI00978500 Issued in NJ
Practice address
130 Prospect St
Jersey City, NJ 07307-2439
Phone
(347) 832-8033
NPI assigned
Apr 10, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 29VI00978500 NJ Primary

Addresses

Primary practice location

130 Prospect St
Jersey City, NJ 07307-2439

Mailing address

130 Prospect St
Jersey City, NJ 07307-2439
Phone (347) 832-8033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29VI00978500NJMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1134062557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 PROSPECT ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072439",
            "telephone_number": "347-832-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PROSPECT ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072439",
            "telephone_number": "347-832-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOAIZA ROQUE",
        "first_name": "GRACIELA",
        "middle_name": "FERNANDA",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "NJ",
            "license": "29VI00978500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.