NPIMap

Individual provider Active NPI

Reinerio Rodriguez, MD

  • Family Medicine Physician
  • West New York, NJ
National Provider Identifier
1174750772
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09049900 Issued in NJ
Practice address
225 60TH St
West New York, NJ 07093-2805
Phone
(201) 869-8888
NPI assigned
Jun 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35120347 OH
Family Medicine Physician 207Q00000X 25MA09049900 NJ Primary

Addresses

Primary practice location

225 60TH St
West New York, NJ 07093-2805

Mailing address

225 60TH St
West New York, NJ 07093-2805
Phone (201) 869-8888

Other identifiers 1

IdentifierTypeStateIssuer
0080116MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120921000494 NJ Practitioner - Family Practice 4587812268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians
Onemd LLCGroup PAC ID 0143603639, 2 clinicians

Practice addresses (Care Compare)

29 E 29TH St
Bayonne, NJ 07002-4654
Phone (201) 858-5000

55 Meadowlands Pkwy
FL 4
Secaucus, NJ 07094-2977
Phone (201) 392-3527

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
  • Promise Care NJ Home health agency, West New York, NJ, CCN 317064
  • Carepoint Health - Bayonne Medical Center Hospital, Bayonne, NJ, CCN 310025
  • Hudson Regional Hospital Hospital, Secaucus, NJ, CCN 310118
  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35120347OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Onemd LLC Family Medicine CurrentSince Jun 8, 2022 Accepting new patients
Garden State Healthcare Associates, LLC PastSince Jun 8, 2022 Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

11 Ridge Rd
North Arlington, NJ 07031
Phone (201) 998-1800

55 Meadowlands Pkwy
Fl 2
Secaucus, NJ 07094
Phone (201) 392-3361

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

55 Meadowlands Pkwy
Fl 4
Secaucus, NJ 07094
Phone (201) 392-3527

323 62nd St
West New York, NJ 07093
Phone (201) 325-9393

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIJHCD
  • Direct secure messaging: reinerio.rodriguez@onemd.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1174750772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932805",
            "telephone_number": "201-869-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932805",
            "telephone_number": "201-869-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "REINERIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35120347",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09049900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080116",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

Verify at the official NPI Registry.