DR. JUAN PABLO ROCCA (NPI# 1588820435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588820435 |
| Entity Type | Individual |
| Full Name | DR. JUAN PABLO ROCCA |
| Credential | M.D. |
| Practice Address |
111 E 210th St Rosenthal C, 2nd Floor Bronx NY 10467-2401 |
| Practice Telephone | 7189205909 |
| Practice Fax Number | 7185474773 |
| Mailing Telephone | 7189205909 |
| Mailing Fax Number | 7185474773 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2014-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | 003443 | NY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 003443 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03161039 | 05 |
| Street Address |
111 E 210TH ST ROSENTHAL C, 2ND FLOOR |
| City | BRONX |
| State | NY |
| Zip Code | 10467-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619373 | Caletha Dicks | Nurse Anesthetist, Certified Registered | 111 E 210th St, Bronx, NY 10467-2401 | 2005-06-14 |
| 1124629118 | Ali Liakat | Pharmacist | 111 E 210th St, Bronx, NY 10467-2401 | 2020-11-05 |
| 1225639347 | Michael Boadu | Pharmacist | 111 E 210th St, Bronx, NY 10467-2401 | 2020-11-04 |
| 1770183501 | Michelle Marsalisi | Physician Assistant | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-30 |
| 1598364606 | Denise Sarah Dailey | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-20 |
| 1619574167 | Amina Khan | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-07 |
| 1043817679 | Farzaneh Hosein Khezri | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-06 |
| 1366049330 | Shafaq Zaman Tarar | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-02 |
| 1972110450 | Assi Milwidsky | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-09-28 |
| 1518574243 | Sudhakar Basetty | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
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| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790726982 | Dominique M. Jan | Transplant Surgery | 3355 Bainbridge Ave, Bronx, NY 10467-2801 | 2006-06-09 |
| 1811384134 | Carlos Alberto Millan Cortes | Transplant Surgery | 3450 Wayne Ave, Apt 13r, Bronx, NY 10467-2510 | 2015-04-24 |
| 1699931600 | Javier Chapochnick Friedmann | Transplant Surgery | 111 E 210th St, Rosenthal 'c' - 2nd Floor, Bronx, NY 10467-2401 | 2008-07-30 |
| 1740402023 | Marie Elizabeth Le | Transplant Surgery | 111 E 210th St, Bronx, NY 10467 | 2007-05-03 |
| 1942257282 | Milan Kinkhabwala | Transplant Surgery | 111 E 210th St, Rosenthal 2, Bronx, NY 10467-2401 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194387522 | Daneille Fontaine | Transplant Surgery | 43 New Scotland Ave # Mc-61, Albany, NY 12208-3412 | 2019-07-06 |
| 1801231055 | Hautien Peter Liou | Transplant Surgery | 177 Fort Washington Ave # 7gs, New York, NY 10032-3733 | 2013-05-01 |
| 1659638005 | Dustin J Carpenter | Transplant Surgery | 177 Ft Washington Ave 7gs Rm 313, New York, NY 10032-3733 | 2012-04-23 |
| 1366718520 | Rebecca Craig-schapiro | Transplant Surgery | 525 East 68th Street, Baker 1919, New York, NY 10065 | 2012-03-31 |
| 1316255730 | Paari Vijayaragavan | Transplant Surgery | 601 Elmwood Avenue Box Surg Transplant Box Surg, Rochester, NY 14642-0001 | 2010-09-20 |
| 1710295241 | Daniel Cherqui | Transplant Surgery | 525 E 68th St Rm F-734, New York, NY 10065-4870 | 2010-09-17 |
| 1265745376 | Elijah Se Hong Min | Transplant Surgery | 31 Main Rd Ste 2, Riverhead, NY 11901-1953 | 2010-07-17 |
| 1952534398 | Abdulelah M Alhawsawi | Transplant Surgery | 306 E 96th St Apt 7a, New York, NY 10128-3852 | 2009-09-02 |
| 1326208976 | Karim Jarir Halazun | Transplant Surgery | 525 E 68th St # F763-b, New York, NY 10065 | 2008-06-16 |
| 1538326954 | Kasi Rebecca Mccune | Transplant Surgery | 622 168th Street, New York, NY 10032 | 2008-05-22 |
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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.