NPIMap

Individual provider Active NPI

Fritz Roc, M.D.

  • Cardiovascular Disease Physician
  • Syracuse, NY
National Provider Identifier
1790784411
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
205088 Issued in NY
Practice address
1000 E Genesee St
Suite 300
Syracuse, NY 13210-1892
Phone
(315) 471-1044
Fax
(315) 474-4312
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 205088 NY Primary
Nuclear Cardiology Physician 207UN0901X 205088 NY

Addresses

Primary practice location

1000 E Genesee St
Suite 300
Syracuse, NY 13210-1892

Mailing address

1000 E Genesee St
Suite 300
Syracuse, NY 13210-1892
Phone (315) 471-1044

Other identifiers 1

IdentifierTypeStateIssuer
01978289MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040901001130 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7416922315 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical PC 388 clinicians
River Hospital Inc 36 clinicians
Samaritan Medical Center 157 clinicians

Practice addresses (Care Compare)

1000 E Genesee St
Suite 300
Syracuse, NY 13210-1853
Phone (315) 471-1044

4 Fuller St
Alex Bay, NY 13607-1316
Phone (315) 482-2511

830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-4000

Hospital & facility affiliations

  • River Hospital Clinics Hospital, Alexandria Bay, NY, CCN 331309
  • Samaritan Medical Center Hospital, Watertown, NY, CCN 330157
  • Gouverneur Hospital Hospital, Gouverneur, NY, CCN 331315
  • Canton-Potsdam Hospital Hospital, Potsdam, NY, CCN 330197
  • St Joseph'S Hospital Health Center Hospital, Syracuse, NY, CCN 330140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205088NYMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Medical PC Current Accepting new patients
River Hospital, Inc. CurrentSince Nov 16, 2011 Accepting new patients
St Josephs Medical PC CurrentSince Dec 1, 2016 Accepting new patients
River Hospital, Inc. CurrentSince Nov 16, 2011 Accepting new patients

Locations

4 Fuller St
Alexandria Bay, NY 13607
Phone (315) 482-1277

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

1000 E Genesee St
Ste 300
Syracuse, NY 13210
Phone (315) 471-1044

Interoperability endpoints

  • Direct secure messaging: froc2389982@direct.trinity-health.org

Organizations & group practices 8

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 6

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1790784411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST",
            "address_2": "SUITE 300",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101892",
            "telephone_number": "315-471-1044",
            "fax_number": "315-474-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST",
            "address_2": "SUITE 300",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101892",
            "telephone_number": "315-471-1044",
            "fax_number": "315-474-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROC",
        "first_name": "FRITZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "205088",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "205088",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01978289",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.