Individual provider Active NPI

Javier A. Roca, MD

  • Hematology & Oncology Physician
  • Fresh Meadows, NY
National Provider Identifier
1609958313
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
184568-1 Issued in NY
Practice address
176-60 Union Turnpike
Suite 360
Fresh Meadows, NY 11366
Phone
(718) 460-2300
Fax
(718) 460-9697
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 184568-1 NY
Hematology & Oncology Physician 207RH0003X 184568-1 NY Primary

Addresses

Primary practice location

176-60 Union Turnpike
Suite 360
Fresh Meadows, NY 11366

Mailing address

176-60 Union Turnpike
Suite 360
Fresh Meadows, NY 11366
Phone (718) 460-2300

Other identifiers 1

IdentifierTypeStateIssuer
01523413MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070827000644 NY Practitioner - Hematology/OncologyPractitioner - Internal Medicine 3375635998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Care of Queens PCGroup PAC ID 2062847692, 17 clinicians

Practice addresses (Care Compare)

17660 Union Tpke
Suite 360
Fresh Meadows, NY 11366-1531
Phone (718) 446-0230

Hospital & facility affiliations

  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

Merit-based Incentive Payment System (MIPS)

Final score
79.78 of 100Reported as group
Quality
48.45
Promoting interoperability
71
Improvement activities
40
Cost
77.92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care of Queens, PC Hematology & Oncology CurrentSince Jan 15, 2020 Accepting new patients
Newyork-Presbyterian/Queens Past Accepting new patients
Booth Medical Associates PC Hematology & Oncology Past Accepting new patients
Broadway Cardiopulmonary, P.C. Hematology & Oncology Past Accepting new patients

Locations

13620 38th Ave
Ste 6D
Flushing, NY 11354
Phone (718) 670-2330

17660 Union Tpke
Ste 360
Fresh Meadows, NY 11366
Phone (718) 446-0230

3141 45th St
Long Island City, NY 11103
Phone (718) 274-2600

9525 Queens Blvd
Ste 501
Rego Park, NY 11374
Phone (855) 742-5530

40 Crossways Park Dr
Ste 103
Woodbury, NY 11797
Phone (516) 921-5533

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: jar9156@direct.nyp.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1609958313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176-60 UNION TURNPIKE",
            "address_2": "SUITE 360",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11366",
            "telephone_number": "718-460-2300",
            "fax_number": "718-460-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176-60 UNION TURNPIKE",
            "address_2": "SUITE 360",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11366",
            "telephone_number": "718-460-2300",
            "fax_number": "718-460-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCA",
        "first_name": "JAVIER",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "184568-1",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "184568-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01523413",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.