Individual provider Active NPI

William Rodino, MD

  • Vascular Surgery Physician
  • Staten Island, NY
National Provider Identifier
1073590931
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
187577 Issued in NY
Practice address
2025 Richmond Ave
Suite 1LL
Staten Island, NY 10314-3937
Phone
(718) 370-0307
Fax
(718) 370-0389
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 187577 NY Primary

Addresses

Primary practice location

2025 Richmond Ave
Suite 1LL
Staten Island, NY 10314-3937

Mailing address

PO Box 416173
Boston, MA 02241-6173
Phone (610) 644-8900

Other identifiers 1

IdentifierTypeStateIssuer
01785822MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607001199 NY Practitioner - Vascular SurgeryPractitioner - General Surgery 2961484431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
State University of New York Downstate Medical Center, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical Group at Huntington PCGroup PAC ID 7214357086, 46 clinicians

Practice addresses (Care Compare)

2001 Marcus Ave
Suite S50
New Hyde Park, NY 11042-1039
Phone (516) 328-9800

Hospital & facility affiliations

  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

Merit-based Incentive Payment System (MIPS)

Final score
92.95 of 100Reported as group
Quality
76.17
Promoting interoperability
99
Improvement activities
40
Cost
67.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal11
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
187577NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical Group at Huntington PC Vascular Surgery CurrentSince Jun 2, 2025 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jun 2, 2025 Accepting new patients
Access Care Physicians of Ny, PC Past Accepting new patients
Physicians of University Hospital, PC PastSince Jun 2, 2025 Accepting new patients
United Medical Surgical PC Vascular Surgery Past Accepting new patients

Locations

17660 Union Tpke
Fresh Meadows, NY 11366
Phone (212) 774-2474

2001 Marcus Ave
Ste S50
New Hyde Park, NY 11042
Phone (516) 355-2277

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

256 Mason Ave
Staten Island, NY 10305
Phone (718) 226-9508

501 Seaview Ave
Ste 302
Staten Island, NY 10305
Phone (718) 226-9600

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: william.rodino.p28@direct.aac.nextgenshare.com
  • Direct secure messaging: william.rodino.p24@direct.aac.nextgenshare.com
  • Direct secure messaging: william.rodino.p31@direct.aac.nextgenshare.com
  • Direct secure messaging: william.rodino.p22@direct.aac.nextgenshare.com
  • Direct secure messaging: william.rodino.p33@direct.aac.nextgenshare.com
  • Direct secure messaging: wrodino327754@northwell.direct-ci.com
  • Direct secure messaging: wir9033@direct.nyp.org
  • Direct secure messaging: williamrodino@nslijmedgr.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1073590931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416173",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416173",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 RICHMOND AVE",
            "address_2": "SUITE 1LL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143937",
            "telephone_number": "718-370-0307",
            "fax_number": "718-370-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODINO",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "187577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01785822",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.