Roque Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ROQUE MEDICAL PC

Practice address

24 W 25TH St
New York, NY 10010-2704

Phone

(212) 675-3288

NPI assigned

Dec 5, 2022

Organization subpart

No

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

Authorized official

Name

Marcelo Venegas, MD

Title

Medical Director

Phone

(347) 524-1914

Specialties & licenses 1

Addresses

Other names 1

• De Corazon Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcelo Venegas Pizarro, MD

  • Internal Medicine Physician
  • Jackson Heights, NY
  • NPI 1245431204
  NPD

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1376253070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 GLENWOOD AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666532",
            "telephone_number": "347-524-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 W 25TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102704",
            "telephone_number": "212-675-3288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2594 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104541118",
            "country_code": "US",
            "telephone_number": "718-665-5439",
            "fax_number": "888-929-2371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROQUE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "VENEGAS",
        "authorized_official_first_name": "MARCELO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "347-524-1914",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "De Corazon Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nitin Roper, M.D.
• Roberta Ramsey Roper, PHD
• Ruby Roper, LMSW
• Walter Roper, MD
• Piper Hanna Evelyn Roppelt
• Norma Tabile Roque, RN
• Tetla M Roques, RN
• Monica Roquitte, LCSW
• Ror Madison Pharmacy Inc
• Maria Rea Ros

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.