Individual provider Active NPI

Liza Rodriguez, MD

  • Addiction Medicine (Anesthesiology) Physician
  • Red Bank, NJ
National Provider Identifier
1306877519
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X
License
25MA07535000 Issued in NJ
Practice address
270 Highway 35
Red Bank, NJ 07701-5920
Phone
(732) 842-2000
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA07535000 NJ
Addiction Medicine (Anesthesiology) Physician 207LA0401X 25MA07535000 NJ Primary

Addresses

Primary practice location

270 Highway 35
Red Bank, NJ 07701-5920

Mailing address

939 Fernwood Ave
Plainfield, NJ 07062-2242
Phone (973) 698-0510

Other practice location 1

141 Main St
South Bound Brook, NJ 08880-1480
Phone (732) 690-0503

Other identifiers 2

IdentifierTypeStateIssuer
0036668MedicaidNJ
P00241435OtherNJRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040202000447 NJ Practitioner - Addiction MedicinePractitioner - Interventional Pain ManagementPractitioner - General SurgeryPractitioner - Anesthesiology 2961305271 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Anesthesiology, General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CPC Behavioral Healthcare IncGroup PAC ID 3971593161, 58 clinicians

Practice addresses (Care Compare)

141 Main St
South Bound Brook, NJ 08880-1480
Phone (732) 690-0503

22 Court St
Freehold, NJ 07728-1700
Phone (732) 780-7387

270 Hwy 35
Red Bank, NJ 07701-5920
Phone (732) 842-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD454091PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Liza Rodriguez, MD. LLC. Addiction Medicine CurrentSince Sep 1, 2018 Accepting new patients
CPC Integrated Health, Inc. CurrentSince Jun 5, 2018 Accepting new patients
CPC Behavioral Healthcare, Inc CurrentSince Jun 5, 2018 Accepting new patients
Hudson Anesthesiology Services, LLC Anesthesiology Past Accepting new patients

Locations

10 Industrial Way E
Eatontown, NJ 07724
Phone (732) 935-2220

22 Court St
Freehold, NJ 07728
Phone (732) 780-7387

270 State Route 35
Red Bank, NJ 07701
Phone (732) 842-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18548/brand/1/csg/1/fhir/r4
  • Direct secure messaging: liza.rodriguez.1@18548.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1306877519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 FERNWOOD AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070622242",
            "telephone_number": "973-698-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 HIGHWAY 35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015920",
            "telephone_number": "732-842-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Main St",
            "address_purpose": "LOCATION",
            "city": "South Bound Brook",
            "state": "NJ",
            "postal_code": "088801480",
            "country_code": "US",
            "telephone_number": "732-690-0503",
            "fax_number": "855-654-0201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LIZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA07535000",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "NJ",
            "license": "25MA07535000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036668",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00241435",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.