Rafael D Rodriguez, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02512900 Issued in NJ

Practice address

175 Market St
3Rd Floor
Paterson, NJ 07505-1728

Phone

(347) 554-9137

NPI assigned

May 4, 2007

Last updated

Apr 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dental PM PC

  • Dentist
  • Paterson, NJ
  • NPI 1932570462
  Medicare reassignment NPD Authorized official
• Elizabeth Dental 77 PC

  dba Eli 1 DDS

  • Dentist
  • Elizabeth, NJ
  • NPI 1427738848
  NPD Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1336351964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 KENNEDY BLVD",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872707",
            "telephone_number": "347-554-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MARKET ST",
            "address_2": "3RD FLOOR",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051728",
            "telephone_number": "347-554-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RAFAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02512900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allana Theresa Rodriguez, MD
• Giseel C. Rodriguez
• Javier Rodriguez, R.PH.
• Luisely Rodriguez, MD
• Martha Rodriguez, MD
• Erwin A Rodrin, PT
• Shanice R Rogers
• Gul Khuban Roghani, MD
• Carlos A Rojas, D.D.S.
• Albert Anthony Romano, D.C.

• Dentist in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.

Verify at the official NPI Registry.