Active NPI
Marquita Rodriguez, PA
- Physician Assistant
- Bronx, NY
National Provider Identifier
1295908119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 007488-1
- Practice address
- 349 E 149TH St FL 2
Bronx, NY 10451-5603 - Phone
- (212) 965-4826
- Fax
- (718) 585-8275
- NPI assigned
- Apr 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 007488-1 | NY | Primary |
Addresses
Primary practice location
349 E 149TH St FL 2
Bronx, NY 10451-5603
Mailing address
2383 2ND Ave Apt 2701
New York, NY 10035-2356
Phone (212) 965-4826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007488 | NY | MD | Acupuncturist |
| 007488-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of Nyc | Past | Accepting new patients | |
| Davis Medical PLLC | Past | Accepting new patients | |
| Planned Parenthood of the Southern Finger Lakes Inc. | Past | Accepting new patients |
Organizations & group practices 5
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.
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- General Practice Physician
- New York, NY
- NPI 1487957692
-
- Ambulatory Family Planning Facility
- Brooklyn, NY
- NPI 1417959701
-
- Ambulatory Family Planning Facility
- Bronx, NY
- NPI 1558573741
-
- Multi-Specialty Clinic/Center
- New York, NY
- NPI 1265161392
-
- Ambulatory Family Planning Facility
- Ithaca, NY
- NPI 1881761484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1295908119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2383 2ND AVE APT 2701",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100352356",
"telephone_number": "212-965-4826",
"fax_number": "718-585-8275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 E 149TH ST FL 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104515603",
"telephone_number": "212-965-4826",
"fax_number": "718-585-8275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARQUITA",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-11",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "007488-1",
"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 Apr 11, 2008; 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.