Individual provider Active NPI

Diane Rodriguez, LICENSED PHLEBOTOMIS

  • Phlebotomy Technician
  • Moriches, NY
National Provider Identifier
1861058638
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Practice address
290 Mountauk Hwy.
Unit #286
Moriches, NY 11955
Phone
(631) 800-6441
Fax
(631) 503-7826
NPI assigned
May 16, 2019
Reactivated
Aug 25, 2025
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU
Occupational Medicine Clinic/Center 261QX0100X NU
Technician 374700000X 81F992 NY
Home Health Aide 374U00000X NY
Medical Laboratory Technician 246RM2200X NU
Phlebotomy Technician 246RP1900X NU Primary

Addresses

Primary practice location

290 Mountauk Hwy.
Unit #286
Moriches, NY 11955

Mailing address

290 Mountauk Hwy.
Unit #286
Moriches, NY 11955
Phone (631) 800-6441

Other names 1

  • Ms. Diane Garcia Former name

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
81F992NYMDTechnician

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1861058638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 MOUNTAUK HWY.",
            "address_2": "UNIT #286",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "11955",
            "telephone_number": "631-800-6441",
            "fax_number": "631-503-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MOUNTAUK HWY.",
            "address_2": "UNIT #286",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "11955",
            "telephone_number": "631-800-6441",
            "fax_number": "631-503-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "LICENSED PHLEBOTOMIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "deactivation_date": "2020-02-21",
        "reactivation_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "NY",
            "license": "81F992",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "GARCIA",
            "prefix": "MS.",
            "credential": "LICENSED PHLEBOTOMIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moriches, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.