Organization Active NPI

Liza Rodriguez, MD. LLC.

  • Addiction Medicine (Anesthesiology) Physician
  • South Bound Brook, NJ
National Provider Identifier
1629550074
Registry record updated Jan 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X
Legal business name
LIZA RODRIGUEZ, MD. LLC.
Practice address
141 Main Street
South Bound Brook, NJ 08880
Phone
(732) 690-0503
NPI assigned
Sep 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2019

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

Authorized official

Name
Liza Rodriguez, MDNPI 1306877519
Title
Authorized Official
Phone
(732) 690-0503

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LA0401X Primary

Addresses

Primary practice location

141 Main Street
South Bound Brook, NJ 08880

Mailing address

PO Box 24068
Belfast, ME 04915-4491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181029002991 NJ Part B Supplier - Clinic/Group Practice 8325391923 Receives reassigned benefits from 1 practitioner
Practice locations: South Bound Brook, NJ

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18548/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548547200000",
    "number": "1629550074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24068",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MAIN STREET",
            "city": "SOUTH BOUND BROOK",
            "state": "NJ",
            "postal_code": "08880",
            "telephone_number": "732-690-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZA RODRIGUEZ, MD. LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-02",
        "last_updated": "2019-01-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LIZA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-690-0503",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bound Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.