Santiago Martin Rodriguez, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ15050200 Issued in NJ

Practice address

750 Valley Brook Ave # 7071
Lyndhurst, NJ 07071-1301

Phone

(201) 896-0900

NPI assigned

Jun 6, 2024

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Heart Center of the OrangesGroup PAC ID 7517950645, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• The Heart Center of the Oranges

  • Cardiovascular Disease Physician
  • East Orange, NJ
  • NPI 1477532588
  Medicare reassignment Care Compare group NPD
• The Heart Center of the Oranges

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1336657840
  NPD (past)

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1508607128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 BLOOMFIELD AVE APT 5G",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065416",
            "telephone_number": "973-525-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 VALLEY BROOK AVE # 7071",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711301",
            "telephone_number": "201-896-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SANTIAGO",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15050200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary M Restaino, NP-C
• Karen A Robinson, D.C.
• Oxana Rodriguez-Perez, LPC
• Arlene Rodriguez, LPC
• Natalie Rodriguez
• Maria Socorro A Romea, PMHNP-C FNP-C ANP-BC
• Alexandra Romero
• Erin Marie Ross, P.T.
• Anthony Rua, DPT
• Raynold Saintval, MS PT

• Family Nurse Practitioner in Lyndhurst, NJ
• Providers in Lyndhurst, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.