Pedro J Roque MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PEDRO J ROQUE MD PLLC

Practice address

5 Wicks Rd
Brentwood, NY 11717-3508

Phone

(631) 435-2781

NPI assigned

Dec 30, 2006

Organization subpart

No

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

Authorized official

Name

Pedro Roque, MD

Title

MD

Phone

(631) 435-2133

Specialties & licenses 1

Addresses

Practitioners 1

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

• Pedro A Suarez, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Hallandale Beach, FL
  • NPI 1558362517
  NPD (past)

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1689730756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WICKS RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117173508",
            "telephone_number": "631-435-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WICKS RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117173508",
            "telephone_number": "631-435-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO J ROQUE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-30",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "ROQUE",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-435-2133",
        "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": []
}

• Rose E Paul
• Peak Chiropractic, PC
• Shanae Olivia Peartewers
• Charlotte Pedone, PT, DPT
• Pedro a. Suarez, MD
• Steven Richard Pellicano, R.N.
• Patricia I Pena Arce, DDS
• Madeline Elizabeth Penalver, OTR/L
• Evangeline Peralta
• Erica Perez

• Internal Medicine Physician in Brentwood, NY
• Providers in Brentwood, 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 Mar 24, 2010; 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.