Active NPI
Adriana Rodriguez
- Specialist
- North Bergen, NJ
National Provider Identifier
1144582768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 815675
- Practice address
- 8700 Boulevard E Apt 2C
North Bergen, NJ 07047-7003 - Phone
- (646) 284-5242
- Fax
- (201) 766-9873
- NPI assigned
- Jun 10, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 815675 | NY | Primary |
Addresses
Primary practice location
8700 Boulevard E Apt 2C
North Bergen, NJ 07047-7003
Mailing address
8700 Boulevard E Apt 2C
North Bergen, NJ 07047-7003
Phone (646) 284-5242
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 |
|---|---|---|---|
| 815675 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339286400000",
"number": "1144582768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8700 BOULEVARD E APT 2C",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070477003",
"telephone_number": "646-284-5242",
"fax_number": "201-766-9873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 BOULEVARD E APT 2C",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070477003",
"telephone_number": "646-284-5242",
"fax_number": "201-766-9873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ADRIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-10",
"last_updated": "2012-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "815675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.