Individual provider Active NPI

Rock Judel Pierre, ARNP

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1649713371
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 3382832 Issued in FL
Practice address
2632 Hollywood Blvd Ste 208
Hollywood, FL 33020-4856
Phone
(954) 629-3818
Fax
(954) 367-7761
NPI assigned
Nov 29, 2016
Reactivated
Jun 19, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 3382832 FL Primary

Addresses

Primary practice location

2632 Hollywood Blvd Ste 208
Hollywood, FL 33020-4856

Mailing address

2632 Hollywood Blvd Ste 208
Hollywood, FL 33020-4856
Phone (954) 629-3818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230112001368 FL Practitioner - Nurse Practitioner 9234509001 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMD Medservices LLCGroup PAC ID 4385070929, 6 clinicians

Practice addresses (Care Compare)

201 NW 82ND Ave
Suite 305
Plantation, FL 33324-1855
Phone (954) 533-8353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 3382832FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
S&C Medical Services Corp CurrentSince Dec 1, 2024 Accepting new patients
Endo Consulting LLC CurrentSince Dec 1, 2024 Accepting new patients
SMD Medservices LLC CurrentSince Jan 1, 2025 Accepting new patients
JP Rock Consulting Inc CurrentSince Jul 16, 2023 Accepting new patients
QS Peds Med LLC Past Accepting new patients
Hollywood Pediatrics, P.a. Past Accepting new patients
Oscar Mendez MD PA PastSince Aug 1, 2007 Accepting new patients
Hospitalis10 Inc PastSince Jan 21, 2022 Accepting new patients

Locations

2632 Hollywood Blvd
Ste 208
Hollywood, FL 33020
Phone (954) 629-3818

3487 NW 30th St
Lauderdale Lakes, FL 33311
Phone (954) 641-4200

8785 NW 32nd Ave
Miami, FL 33147
Phone (305) 691-5711

955 NW 3rd St
Miami, FL 33128
Phone (305) 416-5700

14001 NW 82nd Ave
Miami Lakes, FL 33016
Phone (786) 609-9033

1050 NE 125th St
North Miami, FL 33161
Phone (305) 357-1735

9211 W Broward Blvd
Plantation, FL 33324
Phone (754) 216-7083

201 NW 82nd Ave
Ste 305
Plantation, FL 33324
Phone (954) 424-4218

4399 N Nob Hill Rd
Sunrise, FL 33351
Phone (566) 904-1230

Interoperability endpoints

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

Organizations & group practices 9

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": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1649713371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 HOLLYWOOD BLVD STE 208",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204856",
            "telephone_number": "954-629-3818",
            "fax_number": "954-367-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 HOLLYWOOD BLVD STE 208",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204856",
            "telephone_number": "954-629-3818",
            "fax_number": "954-367-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "ROCK JUDEL",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-29",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "deactivation_date": "2023-05-26",
        "reactivation_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 3382832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.