Nidsy Mejia Roque, MD

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

ME163922 Issued in FL

Practice address

6810 Lyons Technology Cir Ste 190
Coconut Creek, FL 33073-4322

Phone

(754) 200-1756

NPI assigned

Nov 8, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  NPD (past)

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1174091938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 LYONS TECHNOLOGY CIR STE 190",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734322",
            "telephone_number": "754-200-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 LYONS TECHNOLOGY CIR STE 190",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734322",
            "telephone_number": "754-200-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA ROQUE",
        "first_name": "NIDSY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME163922",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "314151",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "FL",
            "license": "ME163922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin McNamee, L.C.S.W.
• Renee Dawn McPherson-Watson, PH.D.
• Medcap Investment Group LLC
• Medical Specialists of Florida PA
• Abdon J. Medina, M.D.
• Menes Union Corporation
• Skylar Mercer, MS
• Gertrude Metellus, LPN
• Monika P. Michaeli, APRN
• Michele Lanese Inc

• Developmental - Behavioral Pediatrics Physician in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Developmental - Behavioral Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.