Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexandra Roque, ATC

Individual provider Athletic Trainer · NPI 1104536663

Alexandra Roque, ATC is an Athletic Trainer in Freehold, New Jersey. Licensed in New Jersey. Registered with an NPI since 2022.

Licensed in
NJ
In the registry since
2022
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

210 Mounts Corner Dr
Freehold, NJ 07728-2547
Phone: (732) 538-8561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 25MT00334400 (NJ)

Record details

NPI number1104536663
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedNovember 24, 2022
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025
Mailing address1455 Broad St Ste 250, Bloomfield, NJ 07003-3066

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