Individual provider Active NPI

Madeline Rodriguez-Hirsch, MSN, APRN, CDCES

  • Primary Care Nurse Practitioner
  • Edgewater, NJ
National Provider Identifier
1386824696
Registry record updated Jan 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ01228600 Issued in NJ
Practice address
968 River Rd
Edgewater, NJ 07020-2237
Phone
(201) 224-8328
Fax
(201) 224-2405
NPI assigned
Nov 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 26NO07875300 NJ
General Practice Registered Nurse 163WG0000X 26NO07875300 NJ
Primary Care Nurse Practitioner 363LP2300X 26NJ01228600 NJ Primary

Addresses

Primary practice location

968 River Rd
Edgewater, NJ 07020-2237

Mailing address

968 River Rd
Edgewater, NJ 07020-2237
Phone (201) 224-8328

Other identifiers 1

IdentifierTypeStateIssuer
26NO07875300OtherNJLICENSE #

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
26NO07875300NJMDGeneral Practice Registered Nurse
26NJ01228600NJMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640995200000",
    "number": "1386824696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 RIVER RD",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070202237",
            "telephone_number": "201-224-8328",
            "fax_number": "201-224-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 RIVER RD",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070202237",
            "telephone_number": "201-224-8328",
            "fax_number": "201-224-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-HIRSCH",
        "first_name": "MADELINE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN,  CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NJ",
            "license": "26NO07875300",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NJ",
            "license": "26NO07875300",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01228600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "26NO07875300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.