Active NPI
Maria T Rodriguez Boulan, MD
- Psychiatry Physician
- New York, NY
National Provider Identifier
1700928181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 131344
- Practice address
- 27 West 86TH Street
Ap 1C
New York, NY 10024 - Phone
- (212) 579-3812
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 131344 | NY | Primary |
Addresses
Primary practice location
27 West 86TH Street
Ap 1C
New York, NY 10024
Mailing address
271 Central Park West
Ap 1D
New York, NY 10024
Phone (212) 799-0606
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
| License | State | Type | Specialty |
|---|---|---|---|
| 131344 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700928181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 CENTRAL PARK WEST",
"address_2": "AP 1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10024",
"telephone_number": "212-799-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 WEST 86TH STREET",
"address_2": "AP 1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10024",
"telephone_number": "212-579-3812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ BOULAN",
"first_name": "MARIA",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "131344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Nancy A Rodrigues, RN
- Olivia Ribeiro Rodrigues, PA-C
- Roberta Batalha Antunes Rodrigues, PT
- Jean Carlo Rodriguez Agramonte, MD
- Daniel Enrique Rodriguez Benzo, MF
- Alfredo Rodriguez Castillejos, MD
- Carlos Eladio Rodriguez Cepeda, RPH
- Wilmary Rodriguez Checo
- Ricardo Rodriguez Colon, MD
- Mariana Rodriguez Diaz, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.