Bruce Michael Rodin, D.P.M.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

002339 Issued in NY

Practice address

16 Marten Dr
West Nyack, NY 10994-1205

Phone

(845) 358-2422

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

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.

• Balanced Home Care LLC

  • Home Health Agency
  • Pearl River, NY
  • NPI 1427840685
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1497895700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MARTEN DR",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941205",
            "telephone_number": "845-358-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MARTEN DR",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941205",
            "telephone_number": "845-358-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODIN",
        "first_name": "BRUCE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "002339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockland Integrative Medicine, PLLC
• Rockland Neurological Associates PC
• Rockland Pulmonary and Medical Associates, PC
• Rockland Recovery Physical Therapy, PLLC
• Rockland Renal Associates LLP
• Leslie Rodriguez, MS, LMHC
• Eric Jason Roffman, MD
• Stephanie Rohrig
• Kayla Roper
• Marina Ellen Ross, PSYD

• Primary Podiatric Medicine Podiatrist in West Nyack, NY
• Providers in West Nyack, NY by specialty
• Primary Podiatric Medicine Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.