Active NPI
Iris Nancy Rodriguez
- Social Worker
- Brooklyn, NY
National Provider Identifier
1306453287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 084532-01
- Practice address
- Iris Rodriguez
2094 Pitkin Avenue
Brooklyn, NY 11207-3509 - Phone
- (718) 240-0614
- Fax
- (718) 240-0601
- NPI assigned
- Sep 25, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 084532-01 | NY | Primary |
Addresses
Primary practice location
Iris Rodriguez
2094 Pitkin Avenue
Brooklyn, NY 11207-3509
Mailing address
Iris Rodriguez
2094 Pitkin Avenue
Brooklyn, NY 11207-3509
Phone (718) 240-0614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132655001 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | address | Other |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084532-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1306453287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "IRIS RODRIGUEZ",
"address_2": "2094 PITKIN AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112073509",
"telephone_number": "718-240-0614",
"fax_number": "718-240-0601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "IRIS RODRIGUEZ",
"address_2": "2094 PITKIN AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112073509",
"telephone_number": "718-240-0614",
"fax_number": "718-240-0601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "IRIS",
"middle_name": "NANCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-25",
"last_updated": "2020-09-25",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "084532-01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132655001",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "address",
"affiliation": "N",
"endpointDescription": "address",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "address",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "address",
"address_1": "2094 Pitkin Ave Fl 1",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112073509",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.