Active NPI
Renne Rodriguez, FNP-BC
- Family Nurse Practitioner
- Brentwood, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F345998-01
- Practice address
- 95 Helmig St
Brentwood, NY 11717-6723 - Phone
- (516) 757-2986
- NPI assigned
- Feb 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 626436-1 | NY | |
| Family Nurse Practitioner | 363LF0000X | F345998-01 | NY | Primary |
Addresses
Primary practice location
95 Helmig St
Brentwood, NY 11717-6723
Mailing address
95 Helmig St
Brentwood, NY 11717-6723
Phone (516) 757-2986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
440 E Main St
Bay Shore, NY 11706-8501
Phone (516) 321-3000
Hospital & facility affiliations
- North Shore University Hospital
- Long Island Jewish Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 626436-1 | NY | MD | Registered Nurse First Assistant |
| 345998 | NY | MD | Licensed Practical Nurse |
| F345998-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| The Central Orthopedic Group L L P | Current | Accepting new patients | |
| Optimum Health and Wellness | Current | Accepting new patients | |
| The Central Orthopedic Group L L P | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients |
Locations
440 E Main St
Bay Shore, NY 11706
Phone (631) 414-2023
440 E Main St
Ste A
Bay Shore, NY 11706
Phone (520) 414-8000
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
101 Saint Andrews Ln
Glen Cove, NY 11542
Phone (516) 674-7300
284 Pulaski Rd
#2
Greenlawn, NY 11740
Phone (631) 271-1608
270 Pulaski Rd
Ste C
Greenlawn, NY 11740
270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308
158 Jericho Tpke
Mineola, NY 11501
Phone (516) 526-6144
450 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 321-3000
27005 76th Ave
North New Hyde Pk, NY 11040
651 Old Country Rd
Ste 200
Plainview, NY 11803
Phone (516) 681-8822
651 Old Country Rd
Plainview, NY 11803
Phone (516) 333-7200
300 Community Dr
Plandome, NY 11030
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- rennerodriguez@nslijmedgr.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Family Medicine Physician
- Mineola, NY
- NPI 1427614734
-
- Specialist
- Plainview, NY
- NPI 1669694394
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Durable Medical Equipment & Medical Supplies
- Massapequa, NY
- NPI 1770117483
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1588022578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 HELMIG ST",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117176723",
"telephone_number": "516-757-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 HELMIG ST",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117176723",
"telephone_number": "516-757-2986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "RENNE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-04",
"last_updated": "2021-11-08",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "NY",
"license": "626436-1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F345998-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.