Active NPI
Victor Barry Rodack, MD
- Psychiatry Physician
- New York, NY
National Provider Identifier
1790752475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- L 197654
- Practice address
- 155 E 31St St
Apt 25L
New York, NY 10016-6800 - Phone
- (212) 689-1940
- NPI assigned
- Mar 2, 2006
- Last updated
- Jul 13, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | L 197654 | NY | Primary |
Addresses
Primary practice location
155 E 31St St
Apt 25L
New York, NY 10016-6800
Mailing address
3421 80TH St
Apt 31
Jackson Heights, NY 11372-2703
Phone (718) 639-3093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L 197654 | NY | MD | Psychiatry Physician |
Interoperability endpoints
- vrodack681792@nychhc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790752475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 80TH ST",
"address_2": "APT 31",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113722703",
"telephone_number": "718-639-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 E 31ST ST",
"address_2": "APT 25L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166800",
"telephone_number": "212-689-1940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODACK",
"first_name": "VICTOR",
"middle_name": "BARRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "L 197654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.