Active NPI
Sol Lissette Rodriguez Medina, MD
- Psychiatry Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 256464
- Practice address
- 3424 Kossuth Avenue
Bronx, NY 10467 - Phone
- (718) 519-5000
- NPI assigned
- May 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 050348 | CT | |
| Psychiatry Physician | 2084P0800X | 256464 | NY | Primary |
Addresses
Primary practice location
3424 Kossuth Avenue
Bronx, NY 10467
Mailing address
3424 Kossuth Avenue
Bronx, NY 10467
Phone (718) 519-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- 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
- Psychiatry
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hospital of Central Connecticut at New Britain General and Bradley | Psychiatry | Current | Accepting new patients |
| Cayuga Pathology PLLC | Current | Accepting new patients | |
| Garnet Health Doctors PC | Current | Accepting new patients | |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current | Accepting new patients | |
| Northeast Medical Group, Inc. | Psychiatry | Current | Accepting new patients |
| Mill Hill Medical Consultants Inc | Current | Accepting new patients | |
| State of Connecticut | Current | Accepting new patients | |
| Cayuga Medical Center at Ithaca | Current | Accepting new patients | |
| Cayuga Medical Center at Ithaca | Current | Accepting new patients | |
| State of Connecticut | Current | Accepting new patients |
Locations
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
1635 Central Ave
Bridgeport, CT 06610
Phone (203) 551-7464
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
130 Division St
Derby, CT 06418
Phone (203) 732-1330
450 Columbus Blvd
Ste 1001
Hartford, CT 06103
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011
707 E Main St
Middletown, NY 10940
Phone (845) 333-1000
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- sollissette.rodriguezmedina@xdr.hhchealthdirect.org
Organizations & group practices 11
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.
-
- Hospitalist Physician
- New Britain, CT
- NPI 1063461481
Psychiatry
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1164547303
-
- General Practice Physician
- Middletown, NY
- NPI 1093138851
-
- Psychiatric Hospital
- Bridgeport, CT
- NPI 1720013360
-
- General Practice Physician
- Torrington, CT
- NPI 1043544489
-
- Specialty Pharmacy
- Ithaca, NY
- NPI 1730596131
-
- Anatomic Pathology & Clinical Pathology Physician
- Ithica, NY
- NPI 1427625508
-
- Geriatric Medicine (Internal Medicine) Physician
- New Haven, CT
- NPI 1891019675
-
- Skilled Nursing Facility
- Rocky Hill, CT
- NPI 1205951662
-
- Psychiatric Hospital Unit
- New Britain, CT
- NPI 1992867006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450051200000",
"number": "1205093929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3424 KOSSUTH AVENUE",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-519-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3424 KOSSUTH AVENUE",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-519-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ MEDINA",
"first_name": "SOL LISSETTE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2015-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "050348",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "256464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
- Dulce Stephany Rodriguez Hernandez
- Realba Rodriguez Iglesias, M.D
- Eduin German Rodriguez Jurado
- Santiago Rodriguez Leon, MD
- Melannie M Rodriguez Lugo, DMD
- Valerie Marie Rodriguez Murga
- Hector Rafael Rodriguez Navarro, MD
- Ediricardo Rodriguez Ortiz, MD
- Adamy Rodriguez Pearson
- Shanna Rodriguez Polanco, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.