DR. CESAR RUBEN ROQUE JR. M.D. NPI 1063791317

Family Medicine in Jersey City, NJ

NPI 1063791317 Individual Male Years of Experience 12 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

About CESAR ROQUE

Cesar Roque is a primary care provider established in Jersey City, New Jersey and his medical specialization is family medicine with more than 12 years of experience. The NPI number of Cesar Roque is 1063791317 and was assigned on August 2011. The practitioner's primary taxonomy code is 207Q00000X with license number 307615 (LA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

A primary care provider (PCP) like Dr. Cesar Ruben Roque Jr. M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Cesar Roque is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Cesar Roque is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Ochsner Clinic Foundation.

NPI

1063791317

Provider NameDR. CESAR RUBEN ROQUE JR. M.D.
Provider Location Address714 BERGEN AVE JERSEY CITY, NJ 07306
Provider Mailing Address714 BERGEN AVE JERSEY CITY, NJ 07306
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2010
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date08-04-2011
Last Update Date01-24-2018


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.307615
License StateLA
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

DR. CESAR RUBEN ROQUE JR. M.D.
714 BERGEN AVE
JERSEY CITY, NJ
ZIP 07306
Phone: (201) 451-6300

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Mailing Address

DR. CESAR RUBEN ROQUE JR. M.D.
714 BERGEN AVE
JERSEY CITY, NJ
ZIP 07306
Phone:



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID3971802323
PECOS Enrollment IDI20180202001308
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Cesar Roque is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
OCHSNER CLINIC FOUNDATION1516 JEFFERSON HWY
NEW ORLEANS, LA 70121
(504) 842-3000Acute Care Hospitals190036

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine275943NYNo

Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine25MA09354300NJNo

Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861417974MRS. EILEEN G SCARINCI FNP
Individual
Nurse Practitioner (Family)714 BERGEN AVE
JERSEY CITY, NJ 07306
(201) 451-6300
1114036803MS. ELLEN ANN O'NEILL C.N.M
Individual
Midwife714 BERGEN AVE
JERSEY CITY, NJ 07306
(201) 434-7906
1548435597MS. RANDA MITCHEAL FRANCIS CNM
Individual
Advanced Practice Midwife714 BERGEN AVE
JERSEY CITY, NJ 07306
(201) 451-6300
1952724700HORIZON HEALTH CENTER
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))714 BERGEN AVE
JERSEY CITY, NJ 07306
(201) 451-6300
1649326893 GERALD ANTHONY BELGRAVE DDS
Individual
Dentist714 BERGEN AVE
JERSEY CITY, NJ 07306
(201) 683-2424
1174986251 MATTHEW PELTZ
Individual
Social Worker714 BERGEN AVE
JERSEY CITY, NJ 07306
(201) 682-2450
1336693134 COLLEEN LYNN GEIB CNS
Individual
Nutritionist714 BERGEN AVE
JERSEY CITY, NJ 07306
(201) 451-6300
1417263146 SAMINA KATHAWALA DDS
Individual
Dentist714 BERGEN AVE 4TH FLOOR
JERSEY CITY, NJ 07306
(201) 683-2424
1356441224MRS. NEZHAT RAZEGHI DDS
Individual
Dentist714 BERGEN AVE
JERSEY CITY, NJ 07306
(201) 683-2424
1992217608MR. JOSEPH ANTHONY FALCONE SR. NP
Individual
Nurse Practitioner (Family)714 BERGEN AVE
JERSEY CITY, NJ 07306
(201) 451-6300

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.