Individual provider Active NPI

Lauren Rodriguez, M.D.

  • Family Medicine Physician
  • Cranford, NJ
National Provider Identifier
1598915878
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08834300 Issued in NJ
Practice address
27 South Ave W
Cranford, NJ 07016-2660
Phone
(908) 275-3810
Fax
(908) 275-8825
NPI assigned
Sep 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08834300 NJ Primary

Addresses

Primary practice location

27 South Ave W
Cranford, NJ 07016-2660

Mailing address

27 South Ave W
Cranford, NJ 07016-2660
Phone (908) 275-3810

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110811000430 NJ Practitioner - Family Practice 3476722216 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Family Medical Family Medicine CurrentSince Sep 24, 2023 Accepting new patients

Locations

492 Main St
Chatham, NJ 07928
Phone (973) 635-2432

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1598915878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SOUTH AVE W",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162660",
            "telephone_number": "908-275-3810",
            "fax_number": "908-275-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SOUTH AVE W",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162660",
            "telephone_number": "908-275-3810",
            "fax_number": "908-275-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08834300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

Verify at the official NPI Registry.