Active NPI
Joseph Manuel Rodriguez, DO
- Emergency Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 324605
- Practice address
- 1901 1St Ave # 2A31
New York, NY 10029-7494 - Phone
- (212) 423-6684
- NPI assigned
- Jun 20, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 324605 | NY | Primary |
Addresses
Primary practice location
1901 1St Ave # 2A31
New York, NY 10029-7494
Mailing address
1901 1St Ave # 2A31
New York, NY 10029-7494
Phone (212) 423-6684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Fir St
San Diego, CA 92101-2327
Phone (848) 499-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24334 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Emergency Medicine | Current | Accepting new patients |
| Harlem Medical Associates PC | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients |
Locations
5651 Copley Dr
Ste A
San Diego, CA 92111
Phone (858) 262-6109
300 Fir St
San Diego, CA 92101
Phone (619) 446-1586
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
1901 1st Ave
#2A31
New York, NY 10029
Phone (212) 423-6684
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
Emergency Medicine
-
- General Practice Physician
- New York, NY
- NPI 1487957692
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Optometrist
- San Diego, CA
- NPI 1063172351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1174149694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 1ST AVE # 2A31",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100297494",
"telephone_number": "212-423-6684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 1ST AVE # 2A31",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100297494",
"telephone_number": "212-423-6684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JOSEPH",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-20",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "324605",
"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 Sep 29, 2023; 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.