DR. ALFREDO C. ROQUE (NPI# 1174575914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174575914 |
| Entity Type | Individual |
| Full Name | DR. ALFREDO C. ROQUE |
| Credential | M.D. |
| Practice Address |
2270 Kimball St Suite 102 Brooklyn NY 11234-5139 |
| Practice Telephone | 7182536616 |
| Practice Fax Number | 7184071140 |
| Mailing Telephone | 7182536616 |
| Mailing Fax Number | 7184071140 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
135527-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01832897 | 05 |
| Street Address |
2270 KIMBALL ST SUITE 102 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-5139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154329472 | Steven Ira Simon | Dermatology | 2270 Kimball St, Suite 201, Brooklyn, NY 11234-5139 | 2005-07-11 |
| 1194096404 | Jack Jedwab Md PC | Urology | 2270 Kimball St, Brooklyn, NY 11234-5139 | 2012-01-18 |
| 1124333612 | Jing Zhao | Dentist | 2270 Kimball St, Suite 202, Brooklyn, NY 11234-5139 | 2010-08-10 |
| 1245568062 | Yafit Azizian | Physician Assistant | 2270 Kimball St, Suite Number 201, Brooklyn, NY 11234-5139 | 2009-12-07 |
| 1922247592 | Brooklyn Integrated Medical Associates PC | Urology | 2270 Kimball St, Brooklyn, NY 11234-5139 | 2009-02-05 |
| 1922274182 | Atlantic Dermatologic Associates, LLP | Specialist | 2270 Kimball St, Suite 201, Brooklyn, NY 11234-5139 | 2008-05-07 |
| 1609076173 | Finestone & Wertentheil Mds PC | Ophthalmology | 2270 Kimball St, Suite 207, Brooklyn, NY 11234-5139 | 2007-07-23 |
| 1033327796 | Traube Marush & Plawes M D P C | Internal Medicine | 2270 Kimball St, Suite 210, Brooklyn, NY 11234-5139 | 2007-05-18 |
| 1669697793 | Alan Lawrence Rubin | Psychiatry & Neurology | 2270 Kimball St, Suite 206, Brooklyn, NY 11234-5139 | 2007-04-16 |
| 1427188879 | Jack Jedwab | Urology | 2270 Kimball St, Suite 214, Brooklyn, NY 11234-5139 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881249035 | Medical Diagnostic Inc. | Radiology | 306 Bay 14th St, Brooklyn, NY 11214-5810 | 2019-08-05 |
| 1023468717 | Sean Shorone Tamir | Radiology | 4802 Tenth Ave., Maimonides Medical Center, Department of Radiology, Brooklyn, NY 11219 | 2016-06-14 |
| 1841685435 | Junaid Aslam | Radiology | 8675 Bay Pkwy, Brooklyn, NY 11214-4186 | 2015-04-01 |
| 1639581358 | Avalon Radiology, P.C. | Radiology | 2085 West 11th Street, Brooklyn, NY 11223 | 2014-05-29 |
| 1972842789 | Brooklyn Medical Imaging PC | Radiology | 1608 59th St, Brooklyn, NY 11204-2129 | 2013-02-14 |
| 1346526829 | David A Zelman | Radiology | 1739 East 33rd St, Brooklyn, NY 11234-4423 | 2011-10-27 |
| 1366723876 | Bay Ridge Medical Imaging, P.c | Radiology | 7119 13th Ave, Brooklyn, NY 11228-1605 | 2011-08-30 |
| 1952689812 | Marina Perlov Radiology PC | Radiology | 115 Brightwater Ct Apt 6b, Brooklyn, NY 11235-7625 | 2011-07-26 |
| 1982992657 | Qwie T Chew | Radiology | 870 Ocean Ave, Brooklyn, NY 11226-6716 | 2011-07-15 |
| 1720390099 | Irina Rapoport | Radiology | 100 Oceana Dr W Apt 3c, Brooklyn, NY 11235-6651 | 2010-07-02 |
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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.