Individual provider Active NPI

Christopher Rodriguez, APN

  • Nurse Practitioner
  • Wayne, NJ
National Provider Identifier
1902631963
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ15140200 Issued in NJ
Practice address
220 Hamburg Tpke Ste 2
Wayne, NJ 07470-2151
Phone
(973) 389-9975
NPI assigned
Sep 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ15140200 NJ Primary

Addresses

Primary practice location

220 Hamburg Tpke Ste 2
Wayne, NJ 07470-2151

Mailing address

3 Washington PL
Totowa, NJ 07512-2536
Phone (347) 262-7392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128002967 NJ Practitioner - Nurse Practitioner 9739618364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Philip J Filippis M D PCGroup PAC ID 1951484096, 3 clinicians

Practice addresses (Care Compare)

220 Hamburg Tpke
Suite 2
Wayne, NJ 07470-2151
Phone (973) 389-9975

Hospital & facility affiliations

  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15140200NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Philip J. Filippis, M.D. , P.C. CurrentSince Jan 1, 2025 Accepting new patients

Locations

220 Hamburg Tpke
Ste 2
Wayne, NJ 07470
Phone (973) 389-9975

Interoperability endpoints

  • Direct secure messaging: crodriguez49741@direct.ahsys.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1725667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1902631963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON PL",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122536",
            "telephone_number": "347-262-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HAMBURG TPKE STE 2",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702151",
            "telephone_number": "973-389-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CHRISTOPHER",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-07",
        "last_updated": "2024-09-07",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15140200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.