NPIMap

Individual provider Active NPI

Juan Carlos Rodriguez, MD PHD

  • Orthopaedic Surgery of the Spine Physician
  • New York, NY
National Provider Identifier
1396837522
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
241813 Issued in NY
Practice address
240 E 18TH St
New York, NY 10003-3605
Phone
(212) 744-8114
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 241813 NY Primary

Addresses

Primary practice location

240 E 18TH St
New York, NY 10003-3605

Mailing address

240 E 18TH St
New York, NY 10003-3605

Other identifiers 1

IdentifierTypeStateIssuer
02814042MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrodriguezolaverri351570@nyumc.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061125000001 NY Practitioner - Orthopedic Surgery 4486652682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

240 E 38TH St
New York, NY 10016-2708
Phone (212) 263-7300

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Apr 1, 2020 Accepting new patients
New York University CurrentSince Apr 1, 2020 Accepting new patients
NYU Langone Hospitals Past Accepting new patients
Manhattan Orthopaedics, P.C. Past Accepting new patients
Maimonides Medical Center Orthopaedic FPP Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
University Physicians of Brooklyn, Inc. Orthopaedic Surgery of the Spine Past Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

1530 Front St
East Meadow, NY 11554
Phone (516) 324-7500

130 E 77th St
#7
New York, NY 10075
Phone (212) 744-8115

333 E 38th St
New York, NY 10016
Phone (646) 501-7070

240 E 38th St
New York, NY 10016
Phone (212) 263-6033

240 E 18th St
New York, NY 10003
Phone (212) 598-3889

130 E 77th St
Fl 7
New York, NY 10075
Phone (212) 744-8114

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1396837522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E 18TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E 18TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033605",
            "telephone_number": "212-744-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "241813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02814042",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrodriguezolaverri351570@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "240 E 18th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100033605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.