Active NPI
Marinilda Rodriguez, DPM
- Foot & Ankle Surgery Podiatrist
- Allentown, PA
National Provider Identifier
1265468722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC004807
- Legal business name
- MARINILDA RODRIGUEZ, DPM
- Practice address
- 101 S 17TH St
Allentown, PA 18104-6704 - Phone
- (484) 664-2170
- NPI assigned
- Jun 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marinilda Rodriguez, DPM
- Title
- Owner
- Phone
- (484) 664-2170
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | SC004807 | PA | |
| Sports Medicine Podiatrist | 213ES0000X | SC004807 | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC004807 | PA | Primary |
| Foot Surgery Podiatrist | 213ES0131X | SC004807 | PA |
Addresses
Primary practice location
101 S 17TH St
Allentown, PA 18104-6704
Mailing address
PO Box 90567
Allentown, PA 18109-0567
Phone (484) 664-2170
National Provider Directory
National Provider DirectoryLocations
101 S 17th St
Allentown, PA 18104
Phone (484) 664-2170
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Allentown, PA
- NPI 1366425027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195084800000",
"number": "1265468722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90567",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181090567",
"telephone_number": "484-664-2170",
"fax_number": "484-664-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S 17TH ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181046704",
"telephone_number": "484-664-2170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARINILDA RODRIGUEZ, DPM",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2007-11-15",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "MARINILDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "484-664-2170",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "PA",
"license": "SC004807",
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Sports Medicine",
"state": "PA",
"license": "SC004807",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC004807",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "PA",
"license": "SC004807",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.