Individual provider Active NPI

Cynthia Indira Rodriguez, MSED

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1720501133
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
292 Palmetto St
Brooklyn, NY 11237-5902
Phone
(718) 386-3242
Fax
(718) 386-4444
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY Primary

Addresses

Primary practice location

292 Palmetto St
Brooklyn, NY 11237-5902

Mailing address

292 Palmetto St
Brooklyn, NY 11237-5902
Phone (718) 386-3242

Other practice location 1

455 Wilson Ave
Brooklyn, NY 11221-5210
Phone (718) 452-3163

Other practice location 2

541 Knickerbocker Ave
Brooklyn, NY 11221-5666
Phone (718) 418-0088

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kreative Kare Day Care Center, Inc. PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720501133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 PALMETTO ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112375902",
            "telephone_number": "718-386-3242",
            "fax_number": "718-386-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 PALMETTO ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112375902",
            "telephone_number": "718-386-3242",
            "fax_number": "718-386-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Wilson Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112215210",
            "country_code": "US",
            "telephone_number": "718-452-3163",
            "fax_number": "718-452-3163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "541 Knickerbocker Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112215666",
            "country_code": "US",
            "telephone_number": "718-418-0088",
            "fax_number": "718-386-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CYNTHIA",
        "middle_name": "INDIRA",
        "credential": "MSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.