Andrea M Rodolico

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2707 Hylan Blvd
Staten Island, NY 10306-4657

Phone

(347) 707-2441

NPI assigned

Apr 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1154984946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 RENO AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064234",
            "telephone_number": "347-707-2441",
            "fax_number": "917-782-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064657",
            "telephone_number": "347-707-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODOLICO",
        "first_name": "ANDREA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Leigh Roche, M.S. CCC-SLP
• Elyse Roddy, APN
• Deirdre Rodgers
• William Rodino, MD
• Rodolfo Ocampo Rodolfo
• Kim Rodriguez-Loggins, FNP
• Alexandra Yasel Rodriguez
• Alina Lauren Rodriguez
• Azalesha Abrahim Rodriguez, M.S. PA-C
• Barbara M Rodriguez, MSW

• Case Manager/Care Coordinator in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.