Sandra Maritza Rodriguez, MACCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0122801 Issued in NY

Practice address

487 Goodrich Ave
North Babylon, NY 11703-2117

Phone

(516) 626-1075

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215075585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 GOODRICH AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117032117",
            "telephone_number": "516-626-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 GOODRICH AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117032117",
            "telephone_number": "516-626-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SANDRA",
        "middle_name": "MARITZA",
        "name_prefix": "Ms.",
        "credential": "MACCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0122801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John B Rinaldi, D.C.
• Margaret L Rivera, LPN
• Robert J Landy, DPM
• Christine Mary Robinson, P.T.
• Vivian Robinson, NP
• Susan Apel Romeo
• Rosetta Romero-Williams, FNP-BC
• Melissa Yael Romulus Wilfrid, REGISTERED NURSE
• Kelly Ann Rosario
• Amy Rose, P.T.

• Speech-Language Pathologist in North Babylon, NY
• Providers in North Babylon, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.