Individual provider Active NPI

Paola Andrea Rodriguez, MS, CCC-SLP TSSLD-BE

  • Speech-Language Pathologist
  • Bronx, NY
National Provider Identifier
1275224172
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
3202 Steuben Ave
Bronx, NY 10467-2902
Phone
(718) 405-6360
NPI assigned
May 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

3202 Steuben Ave
Bronx, NY 10467-2902

Mailing address

1239 Rhinelander Ave
Bronx, NY 10461-1828
Phone (917) 569-3230

Other practice location 1

2447 Eastchester Rd
Bronx, NY 10469-5915
Phone (718) 882-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1275224172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 RHINELANDER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611828",
            "telephone_number": "917-569-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 STEUBEN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672902",
            "telephone_number": "718-405-6360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2447 Eastchester Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104695915",
            "country_code": "US",
            "telephone_number": "718-882-2111",
            "fax_number": "718-882-2117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "PAOLA",
        "middle_name": "ANDREA",
        "credential": "MS, CCC-SLP TSSLD-BE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.