Individual provider Active NPI

Chelsea Rodriquez, FNP

  • Family Nurse Practitioner
  • Massapequa, NY
National Provider Identifier
1639892730
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022042975 Issued in NY
Practice address
39 Carman Blvd
Massapequa, NY 11758-6811
Phone
(917) 742-8129
NPI assigned
Sep 22, 2022
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2022042975 NY Primary

Addresses

Primary practice location

39 Carman Blvd
Massapequa, NY 11758-6811

Mailing address

39 Carman Blvd
Massapequa, NY 11758-6811
Phone (917) 742-8129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230607001939 NY Practitioner - Nurse Practitioner 4082071014 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022042975NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westhampton Medical & Rehabilitation PC CurrentSince Apr 24, 2023 Accepting new patients
Sayville Medical and Rehab PC CurrentSince Apr 24, 2023 Accepting new patients
Chelsea Rodriquez Family Health NP PLLC Family Current Accepting new patients
Smithtown Family Health NP PC Family CurrentSince Mar 4, 2024 Accepting new patients

Locations

160 Middle Rd
Ste 1
Sayville, NY 11782
Phone (631) 239-8262

300 E Main St
Ste 2
Smithtown, NY 11787
Phone (631) 780-6128

10 Old Riverhead Rd
Unit A
Westhampton Beach, NY 11978
Phone (631) 369-4292

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1639892730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CARMAN BLVD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586811",
            "telephone_number": "917-742-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CARMAN BLVD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586811",
            "telephone_number": "917-742-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIQUEZ",
        "first_name": "CHELSEA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "2022042975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.