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

Rafael Bacani Roque, NP

Individual provider Family Nurse Practitioner · NPI 1952054090

Rafael Bacani Roque, NP is a Nurse Practitioner in Brooklyn, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2020, 6 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

150 55th St
Brooklyn, NY 11220-2508
Phone: (917) 679-8317
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F346423 (NY)

Record details

NPI number1952054090
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedJanuary 29, 2022
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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