EDZER ROCHE (NPI# 1588895205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588895205 |
| Entity Type | Individual |
| Full Name | EDZER ROCHE |
| Credential | RPA |
| Practice Address |
4904 19th Ave Astoria NY 11105-1002 |
| Practice Telephone | 7187773494 |
| Mailing Telephone | 7187773494 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
005765 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4904 19TH AVE |
| City | ASTORIA |
| State | NY |
| Zip Code | 11105-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992723753 | Aung Khine Oo | Internal Medicine | 4904 19th Ave, Astoria, NY 11105-1002 | 2006-07-18 |
| 1689067019 | Christopher Wayne Johnson | Counselor | 4904 19th Ave, Astoria, NY 11105-1002 | 2015-03-10 |
| 1437547957 | Brian Michael Burns | Registered Nurse | 4904 19th Ave, Astoria, NY 11105-1002 | 2015-01-06 |
| 1700274305 | James Patrick Cassar | Nurse Practitioner | 4904 19th Ave, Astoria, NY 11105-1002 | 2015-01-05 |
| 1770980252 | Corizon | Community/Behavioral Health | 4904 19th Ave, Astoria, NY 11105-1002 | 2014-11-26 |
| 1609276534 | Adem Martin Geraghty | Registered Nurse | 4904 19th Ave, Astoria, NY 11105-1002 | 2014-08-28 |
| 1477973519 | Christine Edmondson | Nurse Practitioner | 4904 19th Ave, Astoria, NY 11105-1002 | 2014-04-16 |
| 1356778591 | Christopher Wayne Chan | Pharmacist | 4904 19th Ave, Astoria, NY 11105-1002 | 2013-10-02 |
| 1356783476 | Anna T Richards | Registered Nurse | 4904 19th Ave, Astoria, NY 11105-1002 | 2013-07-18 |
| 1669817938 | Correctional Medical Associates of Newyork, P.C. | Pharmacy | 4904 19th Ave, Astoria, NY 11105-1002 | 2013-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639640345 | Bridget Mackin | Counselor | 2263 41st Street, Apt 1f, Astoria, NY 11105 | 2018-12-07 |
| 1487154597 | Five Star Assessment Corp | Specialist/Technologist | 2135 47 Street, Suite 2, Astoria, NY 11105 | 2018-02-15 |
| 1154843076 | Stefania Anne Vendome | Physician Assistant | 23-38 28th Street, Astoria, NY 11105 | 2017-07-12 |
| 1164942330 | Kara Lorraine Gerbino | Registered Nurse | 2325 31st St Ste 301, Astoria, NY 11105 | 2017-06-20 |
| 1669908828 | Gerlie H Estores | Licensed Practical Nurse | 2257 23rd Street, 2nd Floor, Astoria, NY 11105 | 2017-05-10 |
| 1558809665 | Tasrina Khan | Behavioral Analyst | 24-13 23rd Ave, Astoria, NY 11105 | 2017-02-09 |
| 1356892988 | Maria Tsoukias | Behavioral Analyst | 21-21 24th Street, Astoria, NY 11105 | 2016-10-19 |
| 1356705602 | Ahmed Y Nasser | Pharmacist | 21 09 A 31st Street, Pharmacare Plus Pharmacy, Astoria, NY 11105 | 2016-04-12 |
| 1194185363 | Sisters of The Good Shepherd | Social Worker | 25-30 21 Avenue, Astoria, NY 11105 | 2016-03-02 |
| 1154741551 | Latifat Okeke | Nurse Practitioner | 49-04 19th Ave, Rikers Island Correctional Facility, Astoria, NY 11105 | 2014-04-24 |
| Find all providers in zip 11105 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144410671 | Herbert Chin | Physician Assistant | 35 01 30 Ave, #400, Astoria, NY 11103 | 2007-07-31 |
| 1366447641 | Stephen A Leonardo | Physician Assistant | 2120 Exchange St Ste 302, Astoria, OR 97103-3364 | 2005-06-14 |
| 1467001081 | Marwa Abdo | Physician Assistant | 2849 37th St, Astoria, NY 11103-4332 | 2019-09-06 |
| 1457811630 | Yoohyun Kim | Physician Assistant | 2510 30th Ave, Astoria, NY 11102-2418 | 2019-03-22 |
| 1932667789 | Lauren Feinstein | Physician Assistant | 3715 23rd Ave, Astoria, NY 11105-1993 | 2019-03-11 |
| 1770067043 | Julia Yusupova | Physician Assistant | 2510 30th Ave, Astoria, NY 11102-2448 | 2018-09-21 |
| 1124402060 | Marika Massay | Physician Assistant | 4207 30th Ave, Astoria, NY 11103-2910 | 2015-07-09 |
| 1508130881 | Cynthia Elaine Warren | Physician Assistant | 2308 30th Ave, Astoria, NY 11102-3494 | 2012-03-03 |
| 1336411362 | Debra Josephson | Physician Assistant | 4904 19th Ave, Astoria, NY 11105-1002 | 2012-02-07 |
| 1801166095 | Dotse Avochinou | Physician Assistant | 4904 19th Ave, Astoria, NY 11105-1002 | 2012-01-05 |
| Find all providers in ASTORIA | ||||
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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.