Active NPI
John P Rodzvilla, M.D.
- Pediatrics Physician
- Garnet Valley, PA
National Provider Identifier
1174646640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD014817E
- Practice address
- 33 Hutton LN
Garnet Valley, PA 19060-1337 - Phone
- (610) 312-4858
- Fax
- (610) 358-2257
- NPI assigned
- Apr 9, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD014817E | PA | Primary |
Addresses
Primary practice location
33 Hutton LN
Garnet Valley, PA 19060-1337
Mailing address
33 Hutton LN
Garnet Valley, PA 19060-1337
Phone (610) 312-4858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD014817E | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414800000000",
"number": "1174646640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 HUTTON LN",
"city": "GARNET VALLEY",
"state": "PA",
"postal_code": "190601337",
"telephone_number": "610-312-4858",
"fax_number": "610-358-2257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 HUTTON LN",
"city": "GARNET VALLEY",
"state": "PA",
"postal_code": "190601337",
"telephone_number": "610-312-4858",
"fax_number": "610-358-2257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODZVILLA",
"first_name": "JOHN",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2014-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD014817E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garnet Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.