DR. CLEMENTE` T ROQUE


Address: University Hospital, Stony Brook, NY 11794-0001
Phone: 6314446919

DR. CLEMENTE` T ROQUE (NPI# 1902840416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902840416
Entity Type Individual
Full Name DR. CLEMENTE` T ROQUE
Credential M.D.
Practice Address University Hospital
Stony Brook
NY 11794-0001
Mailing Address Po Box 1559
Stony Brook
NY 11790-0989
Practice Telephone 6314446919
Mailing Telephone 6314446919
Enumeration Date 2006-06-15
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085N0700X Radiology
Specialization: Neuroradiology
158433 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY AETNA 4314845 01
NY 00840304 05
NY EMPIRE BC.BS 23D55 01

Office Location

Street Address UNIVERSITY HOSPITAL
City STONY BROOK
State NY
Zip Code 11794-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235177239 Cynthia Kaplan Pathology University Hospital, Stony Brook, NY 11794-0001 2006-06-02
1306047626 Tahmeena Ahmed Pathology University Hospital, L 2, Room 766, Stony Brook, NY 11790 2007-05-31
1235349549 Kathleen V Dhundale Nurse Practitioner University Hospital, Stony Brook, NY 11794-0001 2007-05-23
1366466815 Steven Sandoval Surgery University Hospital, Stony Brook, NY 11794-0001 2006-07-27
1992732010 Steven Perlmutter Radiology University Hospital, Stony Brook, NY 11794-0001 2006-06-26
1811933492 Dennis Galanakis Pathology University Hospital, Stony Brook, NY 11794-0001 2006-06-21
1104869072 Jingxuan Liu Pathology University Hospital, Stony Brook, NY 11794-0001 2006-06-14
1104869122 Roberta Seidman Pathology University Hospital, Stony Brook, NY 11794-0001 2006-06-14
1992748099 Eric Spitzer Pathology University Hospital, Stony Brook, NY 11794-0001 2006-06-14
1366485823 Philip Kane Pathology University Hospital, Stony Brook, NY 11794-0001 2006-06-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619506714 Ryan John Kottmeier Physician Assistant 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 2020-04-02
1699302109 Michael Trentalange Student in an Organized Health Care Education/Training Program Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 2020-03-25
1164985156 Lauren Kate Harris Student in an Organized Health Care Education/Training Program Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 2019-04-08
1851851448 Kathy Tin Student in an Organized Health Care Education/Training Program Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 2019-03-21
1174083703 Arham Khan Student in an Organized Health Care Education/Training Program Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 2019-03-20
1396221982 Aman Bhojani Student in an Organized Health Care Education/Training Program Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 2018-07-17
1699265629 Belliny Phaeton Student in an Organized Health Care Education/Training Program Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 2018-05-15
1629568969 Rachel Herold Student in an Organized Health Care Education/Training Program Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 2018-05-11
1598254419 Nora Ann Diraimondo Nurse Practitioner Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 2018-05-07
1386140705 Ryan Christopher Corn Student in an Organized Health Care Education/Training Program Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 2018-04-04
Find all providers in zip 11794

Taxonomy Information

Taxonomy Code 2085N0700X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Neuroradiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962662783 Alexander Filatov Radiology 100 Nichols Road, Hsc L4 Rm 120, Stony Brook, NY 11794-8460 2008-06-16
1467416271 David J Fiorella Radiology Hsc T12 Rm 080, Stony Brook, NY 11794-8122 2006-04-17
1851666044 Giuseppe Cruciata Radiology 101 Nicolls Road, Stony Brook, NY 11794 2012-03-20
1033351630 Punit Chhaganlal Aghera Radiology Hsc L4 Rm 120, Stony Brook, NY 11794-8460 2009-03-27
1003072950 Avraham Bluestone Radiology Stony Brook Radiology, Hsc L4, Room 120, Stony Brook, NY 11794-8460 2008-07-31
1881729960 Patricia E Roche Radiology 100 Nicolls Rd, Stony Brook, NY 11790-3407 2007-02-22
1467530386 Anton Oscar Beitia Radiology 101 Nicolls Rd, Stony Brook, NY 11794-8460 2006-11-01
1336177740 Bruce Chernofsky Radiology University Hospital At Stony Brook, Stony Brook, NY 11794-0001 2006-06-28
1285661298 Zengmin Yan Radiology University Hospital, L4, Stony Brook, NY 11794-0001 2006-06-26
1750318986 Robert Peyster Radiology University Hospital, L4, Stony Brook, NY 11790 2006-06-26
Find all providers in STONY BROOK

Competitor

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City STONY BROOK
Zip Code 11794

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Dataset Information

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.

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