Active NPI
Christian Bo Rodriguez
- Emergency Medicine Physician
- Manhasset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME160727
- Practice address
- 300 Community Drive
Emergency Medicine- Resident Division
Manhasset, NY 11030-3816 - Phone
- (929) 359-2653
- NPI assigned
- Mar 24, 2020
- Last updated
- Mar 15, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | ME160727 | FL | Primary |
Addresses
Primary practice location
300 Community Drive
Emergency Medicine- Resident Division
Manhasset, NY 11030-3816
Mailing address
300 Community Drive
Department of Em, Admin Suice C, Attn: Elnora Brevard
Manhasset, NY 11030-3816
Phone (929) 359-2653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME160727 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Westchester General Hospital, Inc. | Current | Accepting new patients | |
| Synergy Medical Collective, PA | Emergency Medicine | Current | Accepting new patients |
| Westchester General Hospital, Inc. | Current | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
2500 SW 75th Ave
Miami, FL 33155
Phone (305) 431-0577
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Miami, FL
- NPI 1659086585
-
dba Coral West Community Hospital
- Emergency Medical Services (Emergency Medicine) Physician
- Miami, FL
- NPI 1578183331
-
dba Keralty Hospital Specialty Center
- Gastroenterology Physician
- Miami, FL
- NPI 1801589197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1225665003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 COMMUNITY DRIVE",
"address_2": "DEPARTMENT OF EM, ADMIN SUICE C, ATTN: ELNORA BREVARD",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303816",
"telephone_number": "929-359-2653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 COMMUNITY DRIVE",
"address_2": "EMERGENCY MEDICINE- RESIDENT DIVISION",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303816",
"telephone_number": "929-359-2653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "CHRISTIAN",
"middle_name": "BO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-24",
"last_updated": "2023-03-15",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME160727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.