Active NPI
Esmerlyn Rodriguez, RDH
- Dental Hygienist
- Kearny, NJ
National Provider Identifier
1306662978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 22H101271200
- Practice address
- 242 Kearny Ave
Kearny, NJ 07032-2505 - Phone
- (973) 955-2500
- NPI assigned
- Nov 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 22H101271200 | NJ | Primary |
Addresses
Primary practice location
242 Kearny Ave
Kearny, NJ 07032-2505
Mailing address
310 N 11TH St
Prospect Park, NJ 07508-2102
Phone (973) 930-2937
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 |
|---|---|---|---|
| 22H101271200 | NJ | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1306662978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 N 11TH ST",
"city": "PROSPECT PARK",
"state": "NJ",
"postal_code": "075082102",
"telephone_number": "973-930-2937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 KEARNY AVE",
"city": "KEARNY",
"state": "NJ",
"postal_code": "070322505",
"telephone_number": "973-955-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ESMERLYN",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-28",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NJ",
"license": "22H101271200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearny, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.