Active NPI
Rafael Samuel Cardona Rodriguez, MD
- Otolaryngology Physician
- White Plains, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 322215
- Practice address
- 222 Bloomingdale Rd FL 2
White Plains, NY 10605-1513 - Phone
- (914) 949-3888
- Fax
- (914) 949-1271
- NPI assigned
- Mar 22, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 25MA11788000 | NJ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 64001 | ||
| Otolaryngology Physician | 207Y00000X | 322215 | NY | Primary |
Addresses
Primary practice location
222 Bloomingdale Rd FL 2
White Plains, NY 10605-1513
Mailing address
660 White Plains Rd Ste 400
Tarrytown, NY 10591-5107
Phone (914) 984-2546
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1086 N Broadway
Suite 220
Yonkers, NY 10701-1112
Phone (914) 963-8588
222 Bloomingdale Rd
FL 2
White Plains, NY 10605-1513
Phone (914) 949-3888
Hospital & facility affiliations
- White Plains Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.45 of 100
- Quality
- 89.91
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11788000 | NJ | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy Associates LLP | Otolaryngology | Current | Accepting new patients |
Locations
660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546
660 White Plains Rd
Ste 400
Tarrytown, NY 10591
Phone (914) 333-5800
222 Bloomingdale Rd
Fl 2
White Plains, NY 10605
Phone (914) 949-3888
222 Bloomingdale Rd
Ste 205
White Plains, NY 10605
1086 N Broadway
Ste 220
Yonkers, NY 10701
Phone (914) 279-9500
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- rcardona789498@direct.trinity-health.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- rafael.cardonarodriguez@direct.entandallergy.nextgenshare.com
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.
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1780188896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 WHITE PLAINS RD STE 400",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915107",
"telephone_number": "914-984-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 BLOOMINGDALE RD FL 2",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106051513",
"telephone_number": "914-949-3888",
"fax_number": "914-949-1271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDONA RODRIGUEZ",
"first_name": "RAFAEL",
"middle_name": "SAMUEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-22",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NJ",
"license": "25MA11788000",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": "64001",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "322215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.