Organization Active NPI

Zeidy Roche MD PA

  • Nephrology Physician
  • Fort Pierce, FL
National Provider Identifier
1437581394
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
ZEIDY ROCHE MD PA
Practice address
2501 Ohio Ave
Fort Pierce, FL 34947-4761
Phone
(772) 468-7212
NPI assigned
Aug 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Zeidy Roche, MDNPI 1316972862
Title
Doctor
Phone
(772) 468-7212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

2501 Ohio Ave
Fort Pierce, FL 34947-4761

Mailing address

2501 Ohio Ave
Fort Pierce, FL 34947-4761
Phone (772) 468-7212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130904000199 FL Part B Supplier - Clinic/Group Practice 5698918043 Receives reassigned benefits from 1 practitioner
Practice locations: Port St Lucie, FL; Port Saint Lucie, FL; Okeechobee, FL; Fort Pierce, FL

National Provider Directory

National Provider Directory

Locations

1407 SE Goldtree Dr
Ste A
Port St Lucie, FL 34952
Phone (772) 335-8672

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFIGAD

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1437581394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 OHIO AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474761",
            "telephone_number": "772-468-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 OHIO AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474761",
            "telephone_number": "772-468-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEIDY ROCHE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "ZEIDY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "772-468-7212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.