Tara Roed, SPECIAL EDUCATOR

Primary specialty

SpecialistTaxonomy code 174400000X

License

78654 Issued in NY

Practice address

2707 Hylan Blvd
Staten Island, NY 10306-4657

Phone

(718) 851-3300

NPI assigned

Aug 24, 2021

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1609543081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PERONA LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083323",
            "telephone_number": "347-247-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064657",
            "telephone_number": "718-851-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROED",
        "first_name": "TARA",
        "credential": "SPECIAL EDUCATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "78654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Zoe Rodriguez
• Sindia Gianina Rodriguez
• Victoria Rodriguez, CMHC
• Lenora Rodriquez
• Erika A Roed, MS CCC SLP
• Joan Louise Roesch
• Kathleen Rogan, CSW
• Roger Gorvitz Occupational Therapy PC
• Lauren Rogers-Sirin, PH.D.
• Deborah Silva Rogers, LCSW

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.