Active NPI
Kevyn Rodriguez
- Social Worker
- New York, NY
National Provider Identifier
1124611926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 098222-01
- Practice address
- 356 W 18TH St
New York, NY 10011-4401 - Phone
- (212) 271-7200
- NPI assigned
- Feb 12, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 098222-01 | NY | Primary |
Addresses
Primary practice location
356 W 18TH St
New York, NY 10011-4401
Mailing address
255 Fort Washington Ave Apt 1
New York, NY 10032-1253
Phone (860) 840-9458
Other practice location 1
401 W 47th St Apt 17
New York, NY 10036-2335
Phone (860) 840-9458
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Fordham University School of Medicine, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
979 Cross Bronx Expy
Bronx, NY 10460-4885
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098222-01 | NY | MD | Social Worker |
Interoperability endpoints
- krodriguez584317@direct.ochin.org
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1841536554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743724800000",
"number": "1124611926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 FORT WASHINGTON AVE APT 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321253",
"telephone_number": "860-840-9458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 W 18TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100114401",
"telephone_number": "212-271-7200"
}
],
"practiceLocations": [
{
"address_1": "401 W 47th St Apt 17",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100362335",
"country_code": "US",
"telephone_number": "860-840-9458",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "KEVYN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-12",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NY",
"license": "098222-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 4, 2025; 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.