Roque Medical LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

ROQUE MEDICAL LLC

Practice address

569 Cedar LN
Teaneck, NJ 07666-1712

Phone

(347) 524-1914

Fax

(888) 929-2371

NPI assigned

Jan 25, 2021

Organization subpart

No

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

Authorized official

Name

Marcelo Venegas-Pizarro, MD

Title

Medical Director

Phone

(347) 524-1914

Specialties & licenses 1

Addresses

Other names 1

• Roque Medical Doing business as

Locations

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1770173650",
    "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",
            "fax_number": "888-929-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661712",
            "telephone_number": "347-524-1914",
            "fax_number": "888-929-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROQUE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "VENEGAS-PIZARRO",
        "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": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roque Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fiordaliza Romano
• Joseph A. Romano
• Rachel Romanoff
• Jose A Romero, LAC
• Adi Ronen
• Ashley Mireya Rosado
• Rosanna Hodesto MD PA
• Rosanna Modesto MD PA
• Eric Rose, PH.D.
• Phillip D Rose, PA-C

• Community Health Clinic/Center in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Community Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.