Individual provider Active NPI

Geoffrey Rodriguez, MD

  • Ophthalmology Physician
  • Cambria Heights, NY
National Provider Identifier
1770939456
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
333141 Issued in NY
Practice address
206-20 Linden Blvd
Cambria Heights, NY 11411-1524
Phone
(718) 479-6600
Fax
(718) 264-7080
NPI assigned
May 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 282766 MA
Ophthalmology Physician 207W00000X A172076 CA
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 333141 NY Primary

Addresses

Primary practice location

206-20 Linden Blvd
Cambria Heights, NY 11411-1524

Mailing address

55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888

Other practice location 1

276 Dolores Ave
San Leandro, CA 94577-5008
Phone (800) 339-2733

Other practice location 2

50 Staniford St Ste 600
Boston, MA 02114-2587
Phone (617) 314-2613

Other practice location 3

1 Medical Center Blvd
Dept. of Medicine, 3 East
Chester, PA 19013-3902
Phone (610) 874-6114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250205000173 NY Practitioner - Ophthalmology 4587904909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

20620 Linden Blvd
Cambria Heights, NY 11411-1524
Phone (718) 479-6600

Merit-based Incentive Payment System (MIPS)

Final score
94.23 of 100Reported as group
Quality
93.53
Improvement activities
40
Cost
74.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
333141NYMDLicensed Practical Nurse
A172076CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Ophthalmic Medical Corporation Ophthalmology CurrentSince Sep 6, 2021 Accepting new patients
Advantagecare Physicians PC CurrentSince Feb 10, 2025 Accepting new patients
Advantagecare Physicians PC CurrentSince Feb 10, 2025 Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
East-West Eye Institute a Medical Corporation Ophthalmology Past Accepting new patients
Tufts Medical Center, Inc. Past Accepting new patients

Locations

20400 Lake Chabot Rd
Ste 302
Castro Valley, CA 94546
Phone (510) 614-1515

20400 Lake Chabot Rd
Ste 300
Castro Valley, CA 94546

1401 Willow Pass Rd
Ste 100
Concord, CA 94520
Phone (510) 614-1515

276 Dolores Ave
Ste 300
San Leandro, CA 94577
Phone (800) 339-2733

276 Dolores Ave
San Leandro, CA 94577
Phone (510) 614-1515

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

20620 Linden Blvd
Cambria Hts, NY 11411
Phone (718) 479-6600

55 Water St
Fl 2
New York, NY 10041

Networks

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

Interoperability endpoints

  • Direct secure messaging: grodriguez54829@direct.acpny.com
  • Direct secure messaging: grodriguez592519@hisp.ehr.sutterhealth.org
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 6

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": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1770939456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206-20 LINDEN BLVD",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111524",
            "telephone_number": "718-479-6600",
            "fax_number": "718-264-7080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "276 Dolores Ave",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945775008",
            "country_code": "US",
            "telephone_number": "800-339-2733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Staniford St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142587",
            "country_code": "US",
            "telephone_number": "617-314-2613",
            "fax_number": "617-723-7028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Blvd",
            "address_2": "Dept. of Medicine, 3 East",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "PA",
            "postal_code": "190133902",
            "country_code": "US",
            "telephone_number": "610-874-6114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GEOFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-11",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "282766",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A172076",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "333141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambria Heights, NY

Sources for this page

Verify at the official NPI Registry.