Active NPI
Rosa Maria Jimenez Rodriguez, MD, PHD
- Surgery Physician
- New York, NY
National Provider Identifier
1013551506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 60102753-01
- Practice address
- 1233 York Ave
New York, NY 10065-6306 - Phone
- (646) 888-5592
- NPI assigned
- Oct 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 60102753-01 | NY | Primary |
Addresses
Primary practice location
1233 York Ave
New York, NY 10065-6306
Mailing address
1233 York Ave Apt 18L
New York, NY 10065-6342
Phone (646) 617-2304
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jimener3@mskcc.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60102753-01 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1013551506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 YORK AVE APT 18L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656342",
"telephone_number": "646-617-2304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656306",
"telephone_number": "646-888-5592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ RODRIGUEZ",
"first_name": "ROSA MARIA",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-29",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "60102753-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jimener3@mskcc.org",
"affiliation": "N",
"address_1": "1233 York Ave",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100656306",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.