Active NPI
Marisol T Rodriguez
- Registered Nurse
- Newark, NJ
National Provider Identifier
1376054817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 26NR18296600
- Practice address
- 58 Freeman Street
Newark, NJ 07105 - Phone
- (973) 596-4190
- NPI assigned
- Oct 23, 2017
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR18296600 | NJ | Primary |
Addresses
Primary practice location
58 Freeman Street
Newark, NJ 07105
Mailing address
590 N 7TH St
Newark, NJ 07107-2522
Phone (973) 596-3835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26NR18296600 | Other | NJ | NURSING LICENSE |
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 |
|---|---|---|---|
| 26NR18296600 | NJ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508716800000",
"number": "1376054817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 N 7TH ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071072522",
"telephone_number": "973-596-3835",
"fax_number": "973-596-3834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 FREEMAN STREET",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07105",
"telephone_number": "973-596-4190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARISOL",
"middle_name": "T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-23",
"last_updated": "2017-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR18296600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE",
"identifier": "26NR18296600",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.