Fred Rodriguez, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

478181 Issued in NY

Practice address

23 Beverly Rd
Glen Cove, NY 11542-3410

Phone

(516) 659-4362

NPI assigned

Dec 7, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1487957908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BEVERLY RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115423410",
            "telephone_number": "516-659-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BEVERLY RD",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115423410",
            "telephone_number": "516-659-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "FRED",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "478181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Appel, MD
• Sean Robinson, RN
• Shaun Charles Robinson, DO
• Susan C Roda, SPECIAL EDUCATOR
• Maria Arlene Rodil, MD
• Allison Eve Romansky, P.A.
• Susan Mary Rooney, MS/CCCSLP
• Barry Root, MD
• Craig H Rosenberg, MD
• Laura Karen Rosenberg, R.D.

• Registered Nurse in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.