Active NPI
Roque Flor Fernandez
- Physical Therapist
- Woodside, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 048717
- Practice address
- 5034 69TH St
Woodside, NY 11377-7541 - Phone
- (718) 606-0366
- NPI assigned
- May 15, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 048717 | NY | Primary |
Addresses
Primary practice location
5034 69TH St
Woodside, NY 11377-7541
Mailing address
14436 87TH Rd
Briarwood, NY 11435-3124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4235 Main St
Suite 3O
Flushing, NY 11355-3969
Phone (718) 734-2932
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solar Health Physical Therapy and Acupuncture P.C. | Physical Therapist | Current | Accepting new patients |
| Chung Ying Physical Therapy and Acupuncture PC | Physical Therapist | Current | Accepting new patients |
| Cebu Health Physical Therapy P.C. | Physical Therapist | Current | Accepting new patients |
| New York Medical & Diagnostic Center Inc | Physical Therapist | Current | Accepting new patients |
| Marycare Physical Therapy P.C. | Physical Therapist | Past | Accepting new patients |
Locations
833 58th St
Brooklyn, NY 11220
Phone (718) 290-2919
339 Kings Hwy
Brooklyn, NY 11223
Phone (347) 274-8591
4235 Main St
Ste 3O
Flushing, NY 11355
Phone (718) 559-0088
11621 Queens Blvd
Forest Hills, NY 11375
Phone (718) 414-2777
623 Stewart Ave
Ste 100
Garden City, NY 11530
Phone (516) 464-6888
8046 Kew Gardens Rd
Kew Gardens, NY 11415
Phone (718) 261-1000
30 E 60th St
Rm 1501
New York, NY 10022
Phone (212) 235-1088
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1346930112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14436 87TH RD",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114353124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5034 69TH ST",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113777541",
"telephone_number": "718-606-0366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "ROQUE",
"middle_name": "FLOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-15",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "048717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.