Individual provider Active NPI

Jose Tomas Aponte Rodriguez, M.D

  • Pediatric Adolescent Medicine Physician
  • Bronx, NY
National Provider Identifier
1679660286
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
253155 Issued in NY
Practice address
1870 Grand Concourse FL 3
Bronx, NY 10457-5402
Phone
(347) 205-8280
Fax
(347) 205-8998
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 253155 NY Primary

Addresses

Primary practice location

1870 Grand Concourse FL 3
Bronx, NY 10457-5402

Mailing address

1870 Grand Concourse FL 3
Bronx, NY 10457-5402
Phone (347) 205-8280

Other identifiers 1

IdentifierTypeStateIssuer
02520414MedicaidNY

Other names 1

  • Jose Tomas Aponte Professional name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
253155NYMDPediatric Adolescent Medicine Physician

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
Dr Jose T Aponte Rodriguez MD PC Adolescent Medicine CurrentSince Feb 21, 2021 Accepting new patients
Pediatrics 2000 III PLLC Past Accepting new patients

Locations

1870 Grand Concourse
Fl 3
Bronx, NY 10457
Phone (347) 205-8280

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIAEAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EHCCBD/Endpoint/EHCCBD

Organizations & group practices 2

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1679660286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 GRAND CONCOURSE FL 3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575402",
            "telephone_number": "347-205-8280",
            "fax_number": "347-205-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 GRAND CONCOURSE FL 3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575402",
            "telephone_number": "347-205-8280",
            "fax_number": "347-205-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APONTE RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "TOMAS",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "253155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02520414",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "APONTE",
            "middle_name": "TOMAS",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.