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LUIS C ROA FNP
NPI 1972274132
Nurse Practitioner - Family in Bronx, NY

Active since September 27, 2021
1276 FULTON AVE, BRONX, NY 10456(718) 992-7669 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 6, 2021, Sep 27, 2021 (2 updates tracked since 2021).

About Luis C Roa Fnp NPPES

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

LUIS C ROA FNP (NPI 1972274132) is an individual family provider in Bronx, New York, licensed in New York (347661) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1972274132
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameLUIS C ROACredential: FNP
Location Address1276 FULTON AVEBronx, NY 10456-3402
Mailing Address1276 Fulton AveBronx, NY 10456-3402 · (718) 992-7669
Phone(718) 992-7669
Sole ProprietorNo
Enumeration DateSeptember 27, 2021
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
NPPES CertifiedDecember 6, 2021
✔ NPI 1972274132 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 · 347661
1276 FULTON AVE, Bronx, NY 10456
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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.

MR. ORLANDO BOSCH LCSW
Social Worker (Clinical)
1276 FULTON AVE
BRONX, NY 10456
Bronx County (718) 901-8010
RAJESH MANHARBHAI PATEL M.D
Psychiatry & Neurology (Addiction Psychiatry)
1276 FULTON AVE
BRONX, NY 10456
Bronx County (718) 901-8222
MR. JOHN LEE PA
Physician Assistant (Medical)
1276 FULTON AVE, PSYCHIATRY - MMTP
BRONX, NY 10456
Bronx County (718) 503-7794
MS. MARJORIE LEAH MURAVINA LCSW
Social Worker (Clinical)
1276 FULTON AVE
BRONX, NY 10456
Bronx County (718) 901-8918
DR. VAHID NIKZAD M.D.
Psychiatry & Neurology (Psychiatry)
1276 FULTON AVE
BRONX, NY 10456
Bronx County (718) 901-8653
MAYRA RAMIREZ LCSW
Social Worker
1276 FULTON AVE
BRONX, NY 10456
Bronx County (718) 901-6335
KETKI S SHAH M.D.
Psychiatry & Neurology (Psychiatry)
1276 FULTON AVE
BRONX, NY 10456
Bronx County (718) 901-8445
BRONXCARE HEALTH SYSTEM
Clinic/Center (Mental Health (Including Community Mental Health Center))
1276 FULTON AVE
BRONX, NY 10456
Bronx County (718) 901-8600

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 Luis Roa's NPI number?

The NPI number for Luis Roa is 1972274132. It was assigned to this individual provider in the NPPES registry on September 27, 2021.

Where is Luis Roa located?

Luis Roa practices at 1276 Fulton Ave, Bronx, NY 10456. The listed phone number is (718) 992-7669.

What is Luis Roa's specialty?

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

When was this NPI record last updated?

The NPPES record for Luis Roa was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.