Individual provider Active NPI

Mariel D Paulino Rodriguez

  • Registered Nurse
  • Bronx, NY
National Provider Identifier
1821978701
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
750271-01 Issued in NY
Practice address
1710 Fowler Ave BSMT
BSMT
Bronx, NY 10462-4044
Phone
(347) 257-7829
NPI assigned
Sep 3, 2025
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 750271-01 NY Primary

Addresses

Primary practice location

1710 Fowler Ave BSMT
BSMT
Bronx, NY 10462-4044

Mailing address

1710 Fowler Ave BSMT
Bronx, NY 10462-4044
Phone (347) 257-7829

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

LicenseStateTypeSpecialty
750271-01NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1821978701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 FOWLER AVE BSMT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624044",
            "telephone_number": "347-257-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 FOWLER AVE BSMT",
            "address_2": "BSMT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624044",
            "telephone_number": "347-257-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULINO RODRIGUEZ",
        "first_name": "MARIEL",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "750271-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.