Individual provider Active NPI

Carole M Roc, M.D.

  • Geriatric Psychiatry Physician
  • Montrose, NY
National Provider Identifier
1174791412
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
246833 Issued in NY
Practice address
2094 Albany Post Rd
Montrose, NY 10548-1454
Phone
(914) 737-4400
Fax
(914) 788-4293
NPI assigned
Feb 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 246833 NY Primary

Addresses

Primary practice location

2094 Albany Post Rd
Montrose, NY 10548-1454

Mailing address

11055 64TH Rd
Forest Hills, NY 11375-1417
Phone (914) 737-4400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080918000020 NY Practitioner - Psychiatry 8820165798 Reassigns benefits to 1 organization
Practice locations: Rego Park, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246833NYMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family & Childrens Services Inc CurrentSince May 30, 2010 Accepting new patients
Jewish Board of Family and Children'S Services, Inc. CurrentSince May 30, 2010 Accepting new patients
Hands Across Long Island, Incorporated PastSince Jul 28, 2014 Accepting new patients
Medical Healthcare Services P.C. PastSince Jan 1, 2012 Accepting new patients
Coordinated Behavioral Care Ipa Inc Past Accepting new patients
Jewish Board for Family and Children Services Past Accepting new patients

Locations

55 Westchester Sq
Bronx, NY 10461
Phone (718) 239-6149

9435 Ridge Blvd
Brooklyn, NY 11209
Phone (718) 238-6441

2928 W 36th St
Fl 2
Brooklyn, NY 11224
Phone (347) 575-5360

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

9777 Queens Blvd
Rego Park, NY 11374
Phone (718) 275-9300

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1174791412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 64TH RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751417",
            "telephone_number": "914-737-4400",
            "fax_number": "914-788-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 ALBANY POST RD",
            "city": "MONTROSE",
            "state": "NY",
            "postal_code": "105481454",
            "telephone_number": "914-737-4400",
            "fax_number": "914-788-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROC",
        "first_name": "CAROLE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "246833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, NY

Sources for this page

Verify at the official NPI Registry.