Active NPI
Zenaida Roque, MD
- Obstetrics & Gynecology Physician
- Dansville, NY
National Provider Identifier
1326005448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 123249
- Practice address
- 253 Main St
Dansville, NY 14437-1111 - Phone
- (585) 335-2296
- Fax
- (585) 335-2299
- NPI assigned
- May 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 123249 | NY | Primary |
Addresses
Primary practice location
253 Main St
Dansville, NY 14437-1111
Mailing address
253 Main St
Dansville, NY 14437-1111
Phone (585) 335-2296
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102232CK | Other | NY | PREFERRED CARE |
| 00464411 | Medicaid | NY | |
| 0044280 | Other | NY | GROUP HEALTH INCORPORATED |
| 00051038001 | Other | NY | UNIVERA |
| 5537299 | Other | NY | AETNA |
| 2838 | Other | NY | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190937600000",
"number": "1326005448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 MAIN ST",
"city": "DANSVILLE",
"state": "NY",
"postal_code": "144371111",
"telephone_number": "585-335-2296",
"fax_number": "585-335-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 MAIN ST",
"city": "DANSVILLE",
"state": "NY",
"postal_code": "144371111",
"telephone_number": "585-335-2296",
"fax_number": "585-335-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROQUE",
"first_name": "ZENAIDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2007-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "123249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "102232CK",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00464411",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH INCORPORATED",
"identifier": "0044280",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00051038001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5537299",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2838",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dansville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.