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

Pedro J Roque, MD

Individual provider Internal Medicine Physician · NPI 1275617987

Pedro J Roque, MD is an Internal Medicine in Brentwood, New York. Qualified in 1980, 46 years ago. Practices with Primary Partnercare Physicians PLLC, an 18-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
46
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

600 Suffolk Ave Ste B
Brentwood, NY 11717-4311
Phone: (631) 435-2133
Fax: (631) 435-4365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 157218 (NY)

Record details

NPI number1275617987
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESNovember 21, 2024
Certification dateOctober 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Primary Partnercare Physicians Pllc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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