Active NPI
Edwin Marquice Rodriguez, LMT
- Massage Therapist
- New York, NY
National Provider Identifier
1013759109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 032902-01
- Practice address
- 129 W 29TH St FL 2
New York, NY 10001-5192 - Phone
- (646) 755-8125
- NPI assigned
- Jun 10, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 032902-01 | NY | Primary |
Addresses
Primary practice location
129 W 29TH St FL 2
New York, NY 10001-5192
Mailing address
3116 Snyder Ave # BMT2
Brooklyn, NY 11226-5115
Phone (347) 348-5619
Other names 1
- Marquice Rodriguez
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032902-01 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1013759109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3116 SNYDER AVE # BMT2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112265115",
"telephone_number": "347-348-5619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 W 29TH ST FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015192",
"telephone_number": "646-755-8125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "EDWIN",
"middle_name": "MARQUICE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-10",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "032902-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARQUICE",
"last_name": "RODRIGUEZ",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.