Individual provider Active NPI

Roque Flor Fernandez

  • Physical Therapist
  • Woodside, NY
National Provider Identifier
1346930112
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
048717 Issued in NY
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

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230907003765 NY Practitioner - Physical Therapist in Private Practice 0345604468 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Solar Health Physical Therapy and Acupuncture PCGroup PAC ID 5698195972, 6 clinicians

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

OrganizationSpecialtyStatusNew patients
Solar Health Physical Therapy and Acupuncture P.C. Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Chung Ying Physical Therapy and Acupuncture PC Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Cebu Health Physical Therapy P.C. Physical Therapist CurrentSince May 21, 2023 Accepting new patients
New York Medical & Diagnostic Center Inc Physical Therapist CurrentSince Jul 30, 2023 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.

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.

Verify at the official NPI Registry.