Active NPI
Madonna Crystalee Rodriguez, REGISTERED NURSE
- Registered Nurse
- Mastic Beach, NY
National Provider Identifier
1821602129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- N32715
- Practice address
- 132 Longfellow Dr
Mastic Beach, NY 11951-3016 - Phone
- (631) 575-5851
- NPI assigned
- Sep 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | N32715 | NY | Primary |
| Licensed Practical Nurse | 164W00000X | 399150 | NY |
Addresses
Primary practice location
132 Longfellow Dr
Mastic Beach, NY 11951-3016
Mailing address
132 Longfellow Dr
Mastic Beach, NY 11951-3016
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Katj76@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N32715 | NY | MD | Registered Nurse |
| 399150 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774137600000",
"number": "1821602129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 LONGFELLOW DR",
"city": "MASTIC BEACH",
"state": "NY",
"postal_code": "119513016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 LONGFELLOW DR",
"city": "MASTIC BEACH",
"state": "NY",
"postal_code": "119513016",
"telephone_number": "631-575-5851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MADONNA",
"middle_name": "CRYSTALEE",
"name_prefix": "Ms.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-03",
"last_updated": "2026-03-22",
"certification_date": "2026-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "NY",
"license": "N32715",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "399150",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Katj76@gmail.com",
"affiliation": "N",
"endpointDescription": "Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "115 Van Buren St",
"city": "Mastic",
"state": "NY",
"country_code": "US",
"postal_code": "119504101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mastic Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.