Janice Rodriguez, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

030723-01 Issued in NY

Practice address

9956 63Rd Ave # 1R
Rego Park, NY 11374-1955

Phone

(718) 687-8905

NPI assigned

Sep 19, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1003694142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9956 63RD AVE # 1R",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741955",
            "telephone_number": "718-687-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9956 63RD AVE # 1R",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741955",
            "telephone_number": "718-687-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JANICE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030723-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyasha Rivera
• Riverview Medical Care, P.C.
• Elisha Ro, PHARM.D
• Robert Malakov Physician, P.C
• Magalie Rodney
• Mauricio A Rodriguez, PTA
• Maximo Tiukinhoy Rodriguez III, RPT
• Michelle Rodriguez, LCSW
• Milagros Rodriguez, LMSW
• Shuang Rodriguez

• Speech-Language Pathologist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.