Rafael Rodriguez, LAC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

026164-01 Issued in NY

Practice address

300 N Middletown Rd Ste 2
Pearl River, NY 10965-1295

Phone

(845) 362-8400

Fax

(845) 362-8474

NPI assigned

Nov 18, 2022

Last updated

Nov 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Castro Chiropractic and Ciallella Acupuncture PLLC

  • Clinic/Center
  • Pearl River, NY
  • NPI 1316792633
  NPD (past)

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1750090650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N MIDDLETOWN RD STE 2",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651295",
            "telephone_number": "845-362-8400",
            "fax_number": "845-362-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MIDDLETOWN RD STE 2",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651295",
            "telephone_number": "845-362-8400",
            "fax_number": "845-362-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RAFAEL",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "026164-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockland County Medical PC
• Rockland Endocrinology, PC
• Rockland Footcare, P.C.
• Rockland Plastic Surgery, LLP
• Rockland Surgical Associates, P.C.
• Ronald G Backman DDS PC
• Ellen Rothstein
• Rsprecision Pharma, LLC (RSP Pharmacy)
• Lydia T Rubino
• Rose A Ruddy, ACNP

• Massage Therapist in Pearl River, NY
• Providers in Pearl River, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.