Mayra Joselyn Rodriguez

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00473100 Issued in NJ

Practice address

7 Martindale Rd # 1
Clifton, NJ 07013-1614

Phone

(973) 638-1107

NPI assigned

Dec 23, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mayra Joselyn Ramirez Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mayra.joselyn.rodriguez.1@5622.direct.athenahealth.com
• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10045835
• Direct secure messaging: mrodriguez245982@epicdirect.rwjbh.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valley Physician Services PC

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1467815928
  Medicare reassignment Care Compare group NPD
• Optum Medical Care of New Jersey PC

  • Pediatrics Physician
  • New Hyde Park, NY
  • NPI 1578665048

  NJ

  Medicare reassignment
• Morris Avenue Medical Center PC

  • Cardiovascular Disease Physician
  • Union, NJ
  • NPI 1134369200
  NPD (past)

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1033530753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MAYWOOD AVE",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071001",
            "telephone_number": "201-464-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MARTINDALE RD # 1",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131614",
            "telephone_number": "973-638-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MAYRA",
        "middle_name": "JOSELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-23",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00473100",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "26NJ00473100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYRA",
            "last_name": "RAMIREZ",
            "middle_name": "JOSELYN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donna Jean Roberto
• Kristopher Robinson
• Rodolfo a Munera
• Juliet Rodriguez Pumariega
• Kimberly Rodriguez, LSW
• Ramon Luis Rodriguez
• Valeria Rodriguez
• Yanela Rodriguez, TSLD
• Roger Warren, DDS, PA
• Larry Lee Rogers

• Nurse Practitioner in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.