Philip Gerard Rodgers, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

446862 Issued in NY

Practice address

16 Gary St
Port Jefferson Station, NY 11776-2870

Phone

(631) 828-2792

NPI assigned

Oct 7, 2009

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1790010833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GARY ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762870",
            "telephone_number": "631-828-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GARY ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762870",
            "telephone_number": "631-828-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "PHILIP",
        "middle_name": "GERARD",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "446862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert H. Kramer, D.O., P.C.
• Sabrina Roberts, PHARMD
• Jessica Young Robertson
• Vanesza Robles Salas, M.P.H., D.M.D.
• Jeannette Lillian Rodgers, RN
• Sandra Roditti
• Ramon Omar Rodriguez Hernandez
• Oscar Andres Rodriguez-Ayala, MD
• Caitlin Mary Rodriguez
• Andrea Rogers

• Adult Psychiatric/Mental Health Registered Nurse in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Adult Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.