Individual provider Active NPI

Felix Eduardo Roque, MD

  • Pain Medicine (Anesthesiology) Physician
  • West New York, NJ
National Provider Identifier
1366506495
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MA24345 Issued in NJ
Practice address
211 60TH St
West New York, NJ 07093-2805
Phone
(201) 662-5437
Fax
(201) 662-7195
NPI assigned
Dec 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MA24345 NJ Primary

Addresses

Primary practice location

211 60TH St
West New York, NJ 07093-2805

Mailing address

PO Box 337
Cliffside Park, NJ 07010-0337
Phone (201) 662-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20131114001252 NJ Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 0143210815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
Icahn School of Medicine at Mount Sinai, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Relief Center PAGroup PAC ID 5890785562, 3 clinicians

Practice addresses (Care Compare)

543 45TH St
Union City, NJ 07087-2615
Phone (201) 662-5437

Merit-based Incentive Payment System (MIPS)

Final score
98.08 of 100Reported as individual
Quality
77.92
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA24345NJMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
Pain Relief Center PA Pain Medicine CurrentSince Jan 1, 2001 Accepting new patients

Locations

543 45th St
Union City, NJ 07087
Phone (201) 662-5437

211 60th St
West New York, NJ 07093
Phone (201) 379-5658

Interoperability endpoints

  • Direct secure messaging: felix.roque@direct.hobokenumc.md

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366506495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070100337",
            "telephone_number": "201-662-5437",
            "fax_number": "201-662-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932805",
            "telephone_number": "201-662-5437",
            "fax_number": "201-662-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE",
        "first_name": "FELIX",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "MA24345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

Verify at the official NPI Registry.