Active NPIIndividual provider

Evangelina M Roque, NP-C

Nurse Practitioner, Adult Health in Fair Lawn, New Jersey

NPI Number1922514330
Practice location
6-20 Plaza RD, Fair Lawn, NJ 07410-3113
Fax
201-797-7003
Last updated
November 5, 2025

Evangelina M. Roque is a Nurse Practitioner, Adult Health based in Fair Lawn, NJ. Evangelina M. Roque practices in Fair Lawn, NJ and has the professional credentials of NP-C. The NPI Number for Evangelina M. Roque is 1922514330 and holds a License No. 26NJ00788600 (NJ). The current practice location address for Evangelina M. Roque is 6-20 Plaza RD, Fair Lawn, NJ 07410-3113 and can be reached out via phone at 201-797-2003 and via fax at 201-797-7003.

Provider Profile Details

NPI Number
1922514330
Provider Name
Evangelina M. Roque
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
6-20 Plaza RD, Fair Lawn, NJ 07410-3113
Phone Number
201-797-2003
Fax Number
201-797-7003
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
December 20, 2017
Last Update Date
November 5, 2025
Certification Date
November 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
6-20 Plaza RD
Fair Lawn, NJ 07410-3113
Zip
07410-3113
Phone Number
201-797-2003
Fax Number
201-797-7003
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
6-20 Plaza RD
Fair Lawn, NJ 07410-3113
City
Fair Lawn
State
NJ
Zip
07410-3113
Phone Number
201-797-2003
Fax Number
201-797-7003

License Information

License Number (1)
26NJ00788600
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X · Primary
License Number (2)
26NJ00788600
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X

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 Evangelina M Roque, NP-C?

The NPI number of Evangelina M Roque, NP-C is 1922514330. It was assigned on December 20, 2017 and is currently active in the NPPES registry.

What is the specialty of Evangelina M Roque, NP-C?

Evangelina M Roque, NP-C is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NJ00788600.

Where does Evangelina M Roque, NP-C practice?

The practice location is 6-20 Plaza RD, Fair Lawn, NJ 07410-3113. The office can be reached at 201-797-2003 (phone) or 201-797-7003 (fax).

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 1922514330 directly on the NPPES registry website.

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