DR. JOSE RAMON ROQUE JR. (NPI# 1134254162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134254162 |
| Entity Type | Individual |
| Full Name | DR. JOSE RAMON ROQUE JR. |
| Credential | MD, BCNS, CNC |
| Practice Address |
1111 22nd St North Bergen NJ 07047-2003 |
| Mailing Address |
1111-22 Street North Bergen NJ 07047 |
| Practice Telephone | 2018668121 |
| Practice Fax Number | 2018668004 |
| Mailing Telephone | 2018668121 |
| Mailing Fax Number | 2018668004 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
3002 | NJ | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NJ HEALTH | 1045653 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093111767 | Jose Roque Jr. | Dentist | 4280 Bee Ridge Rd, Sarasota, FL 34233-2563 | 2014-11-07 |
| 1154362010 | Jose M. Roque | Internal Medicine | 230 S Main St, Suite 215, Orange, CA 92868-3851 | 2006-06-09 |
| Street Address |
1111 22ND ST |
| City | NORTH BERGEN |
| State | NJ |
| Zip Code | 07047-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1639799646 | Red Oak Pharmacy Corp | Pharmacy | 9225 John F Kennedy Blvd, Unit F, North Bergen, NJ 07047 | 2020-04-20 |
| 1811520091 | Andres A Varilias | Pharmacist | 7917 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-02-17 |
| 1669016986 | Rebecca Lee | Dentist | 3123 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2019-10-30 |
| 1720648439 | Hannah Joy Guharajan | Speech-Language Pathologist | 5665 John F. Kennedy Blvd, Apt. 508, North Bergen, NJ 07047 | 2019-06-14 |
| 1417417080 | Chandini Sajja | Student in an Organized Health Care Education/Training Program | 7600 River Road, North Bergen, NJ 07047 | 2019-03-20 |
| 1215455522 | Xavier Steven Alzate | Specialist/Technologist | 338 75th Street, 2b, North Bergen, NJ 07047 | 2017-09-07 |
| 1962923151 | Hala Altunji | Dentist | 8407 Jfk Blvd E, North Bergen, NJ 07047 | 2017-06-28 |
| 1871023457 | Diego Nieto | Specialist | 6112 Durham Ave, North Bergen, NJ 07047 | 2017-06-15 |
| 1326578105 | Hudson Hills Senior Living, LLC | Nursing Care | 3505 Bergen Tpke, North Bergen, NJ 07047 | 2017-06-14 |
| Find all providers in zip 07047 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726658 | Linda Brooks | Nutritionist | 309 Morris Avenue, Suite F, Spring Lake, NJ 07762-1533 | 2020-09-28 |
| 1750995981 | Talia Benders | Nutritionist | 23 Wheeler St Fl 2, Montclair, NJ 07042-4603 | 2020-09-04 |
| 1407469331 | Matthew Luongo | Nutritionist | 901 Madison St Apt 3b, Hoboken, NJ 07030-6434 | 2020-08-29 |
| 1194343616 | Robyn Ziemba | Nutritionist | 61 Adams Dr, Cresskill, NJ 07626-1727 | 2020-07-10 |
| 1336768704 | Theresa Rielly | Nutritionist | 1190 Old Freehold Rd, Toms River, NJ 08753-5258 | 2020-04-15 |
| 1427683192 | Teaching Fenix Rdn Cafe LLC | Nutritionist | 90 E Halsey Rd, St308, Parsippany, NJ 07054-3713 | 2020-03-03 |
| 1629608815 | Jessica Groff | Nutritionist | 62 Seminole Ave, Oakland, NJ 07436-2926 | 2020-01-16 |
| 1497312946 | Anita Christina Jalloh | Nutritionist | 120 Farm Ln, Bound Brook, NJ 08805-1414 | 2019-05-21 |
| 1912496142 | Jaclyn Ann Jacobsen | Nutritionist | 17-12 Hunter Pl, Fair Lawn, NJ 07410-5242 | 2018-05-03 |
| 1104325497 | Jeannine Marie Remcnamara | Nutritionist | 40 Dewey Ave, Colonia, NJ 07067-2015 | 2018-02-02 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BERGEN |
| Zip Code | 07047 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.