Active NPI
Lady Dayana Rodriguez, MSSPED
- Case Manager/Care Coordinator
- Rockville Centre, NY
National Provider Identifier
1144656612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 584153111
- Practice address
- 100 N Park Ave
Rockville Centre, NY 11570-4157 - Phone
- (516) 678-0707
- Fax
- (516) 678-5990
- NPI assigned
- Sep 17, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Case Manager/Care Coordinator | 171M00000X | 584153111 | NY | Primary |
Addresses
Primary practice location
100 N Park Ave
Rockville Centre, NY 11570-4157
Mailing address
576 Madison Ave
North Baldwin, NY 11510-1333
Phone (917) 517-0169
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33628 | Medicaid | NY |
Other names 1
- Miss Lady Dayana Orozco Vasquez
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 |
|---|---|---|---|
| 584153111 | NY | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infant and Toddler Interventionists | Past | Accepting new patients |
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.
-
- Early Intervention Provider Agency
- Rockville Centre, NY
- NPI 1083868327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1144656612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 MADISON AVE",
"city": "NORTH BALDWIN",
"state": "NY",
"postal_code": "115101333",
"telephone_number": "917-517-0169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N PARK AVE",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115704157",
"telephone_number": "516-678-0707",
"fax_number": "516-678-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "LADY",
"middle_name": "DAYANA",
"name_prefix": "Mrs.",
"credential": "MSSPED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-17",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NY",
"license": "584153111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33628",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LADY",
"last_name": "OROZCO VASQUEZ",
"middle_name": "DAYANA",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.