Active NPIIndividual provider

Alexandra Roque, ATC

Specialist/Technologist, Athletic Trainer in Freehold, New Jersey

NPI Number1104536663
Practice location
210 Mounts Corner Dr, Freehold, NJ 07728-2547
Fax
—
Last updated
March 13, 2025

Alexandra Roque is a Specialist/Technologist, Athletic Trainer based in Freehold, NJ. Alexandra Roque practices in Freehold, NJ and has the professional credentials of ATC. The NPI Number for Alexandra Roque is 1104536663 and holds a License No. 25MT00334400 (NJ). The current practice location address for Alexandra Roque is 210 Mounts Corner Dr, Freehold, NJ 07728-2547 and can be reached out via phone at 732-538-8561.

Provider Profile Details

NPI Number
1104536663
Provider Name
Alexandra Roque
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
210 Mounts Corner Dr, Freehold, NJ 07728-2547
Phone Number
732-538-8561
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
November 24, 2022
Last Update Date
March 13, 2025
Certification Date
March 13, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
210 Mounts Corner Dr
Freehold, NJ 07728-2547
Zip
07728-2547
Phone Number
732-538-8561
Freehold, NJ 07728Get directions →

Provider Business Mailing Address Details

Address
1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
City
Bloomfield
State
NJ
Zip
07003-3066
Phone Number
877-532-7837

License Information

License Number
25MT00334400
License State
NJ
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alexandra Roque, ATC?

The NPI number of Alexandra Roque, ATC is 1104536663. It was assigned on November 24, 2022 and is currently active in the NPPES registry.

What is the specialty of Alexandra Roque, ATC?

Alexandra Roque, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00334400.

Where does Alexandra Roque, ATC practice?

The practice location is 210 Mounts Corner Dr, Freehold, NJ 07728-2547. The office can be reached at 732-538-8561 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104536663 directly on the NPPES registry website.

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