RAFAEL BACANI ROQUE NP
NPI 1952054090
Nurse Practitioner - Family in Brooklyn, NY

Active since January 29, 2022PECOS EnrolledAccepts Medicare Assignment
150 55TH ST, BROOKLYN, NY 11220(917) 679-8317 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 12, 2023, Jan 29, 2022 (2 updates tracked since 2022).

About Rafael Bacani Roque Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAFAEL BACANI ROQUE NP (NPI 1952054090) is an individual family provider in Brooklyn, New York, licensed in New York (F346423) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2020).

NPPES Registry Identity

NPI1952054090
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRAFAEL BACANI ROQUECredential: NP
Location Address150 55TH STBrooklyn, NY 11220-2508
Mailing Address9255 Shore Rd Apt 2cBrooklyn, NY 11209-6538
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2020
Enumeration DateJanuary 29, 2022
Last NPPES UpdateApril 12, 20232 updates tracked since enumeration
NPPES CertifiedApril 12, 2023
NPI 1952054090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F346423
150 55TH ST, Brooklyn, NY 11220

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rafael Bacani Roque Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143678474
PECOS Enrollment IDI20231128001331
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
150 55TH ST
BROOKLYN, NY 11220
Psychiatry & Neurology (Psychiatry)
150 55TH ST
BROOKLYN, NY 11220
Pharmacist (Oncology)
150 55TH ST
BROOKLYN, NY 11220
Nurse Practitioner (Primary Care)
150 55TH ST
BROOKLYN, NY 11220
Physician Assistant
150 55TH ST
BROOKLYN, NY 11220
Student in an Organized Health Care Education/Training Program
150 55TH ST
BROOKLYN, NY 11220
Student in an Organized Health Care Education/Training Program
150 55TH ST
BROOKLYN, NY 11220
Hospitalist
150 55TH ST
BROOKLYN, NY 11220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafael Roque's NPI number?

The NPI number for Rafael Roque is 1952054090. It was assigned to this individual provider in the NPPES registry on January 29, 2022.

Where is Rafael Roque located?

Rafael Roque practices at 150 55th St, Brooklyn, NY 11220. The listed phone number is (917) 679-8317.

What is Rafael Roque's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rafael Roque enrolled in Medicare?

Yes. Rafael Roque is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Rafael Roque affiliated with any hospitals?

According to CMS data, Rafael Roque is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Rafael Roque was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.