Individual provider Active NPI

Victor Barry Rodack, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1790752475
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L 197654 Issued in NY
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L 197654NYMDPsychiatry Physician

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.