Evangelina M. Roque, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00788600 Issued in NJ

Practice address

6-20 Plaza Rd
Fair Lawn, NJ 07410-3113

Phone

(201) 797-2003

Fax

(201) 797-7003

NPI assigned

Dec 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: evangelina.roque@direct.digidms.com

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.

• Apex Medical Professionals

  • Internal Medicine Physician
  • Fair Lawn, NJ
  • NPI 1891144465
  Medicare reassignment NPD
• Clifton Medical Clinic Inc

  • Internal Medicine Physician
  • Clifton, NJ
  • NPI 1356936611
  Medicare reassignment NPD
• Medical Associates of Englewood, PC

  • Internal Medicine Physician
  • Englewood, NJ
  • NPI 1952681918
  Medicare reassignment NPD
• Milliennieum Gastroenterology Inc

  • Gastroenterology Physician
  • Prospect Park, NJ
  • NPI 1326291162
  Medicare reassignment
• Passaic Medical Care Inc

  • Internal Medicine Physician
  • Passaic, NJ
  • NPI 1184811390
  Medicare reassignment

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1922514330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6-20 PLAZA RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103113",
            "telephone_number": "201-797-2003",
            "fax_number": "201-797-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6-20 PLAZA RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103113",
            "telephone_number": "201-797-2003",
            "fax_number": "201-797-7003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "362 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Passaic",
            "state": "NJ",
            "postal_code": "070554114",
            "country_code": "US",
            "telephone_number": "973-777-3222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROQUE",
        "first_name": "EVANGELINA",
        "middle_name": "M.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00788600",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00788600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yinauri Mavet Rodriguez
• Daniel Romaikin, PHARM.D.
• Roman Gont DC PC
• Alisha C Romano, OTR/L
• Rooted Living LLC
• Jose Luis Rosado
• Brad Rosen
• Kenneth B Rosen, OD
• Lon J Rosen, DDS
• Stacey L Rosen, RPT

• Adult Health Nurse Practitioner in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.