Individual provider Active NPI

Hernan Rodriguez, SPECIAL EDUCATOR

  • Early Intervention Provider Agency
  • North Bergen, NJ
National Provider Identifier
1649413782
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Practice address
1604 74TH St
Apt. C-8
North Bergen, NJ 07047-4096
Phone
(201) 203-7221
Fax
(201) 203-7221
NPI assigned
Apr 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1604 74TH St
Apt. C-8
North Bergen, NJ 07047-4096

Mailing address

1604 74TH St
Apt. C-8
North Bergen, NJ 07047-4096
Phone (201) 203-7221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1649413782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 74TH ST",
            "address_2": "APT. C-8",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474096",
            "telephone_number": "201-203-7221",
            "fax_number": "201-203-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 74TH ST",
            "address_2": "APT. C-8",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474096",
            "telephone_number": "201-203-7221",
            "fax_number": "201-203-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "HERNAN",
        "name_prefix": "Mr.",
        "credential": "SPECIAL EDUCATOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.