Individual provider Active NPI

Juadan Rodriguez, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1902940331
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075718 Issued in NY
Practice address
2265 3Rd Ave
New York, NY 10035-2231
Phone
(212) 289-6650
NPI assigned
Feb 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 075718 NY Primary

Addresses

Primary practice location

2265 3Rd Ave
New York, NY 10035-2231

Mailing address

2265 3Rd Ave
New York, NY 10035-2231
Phone (212) 289-6650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090805000411 NY Practitioner - Clinical Social Worker 1052464203 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Shakespeare Operating LLCGroup PAC ID 0840604310, 144 clinicians
Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians
East Harlem Council for Human Services IncGroup PAC ID 8628194842, 15 clinicians

Practice addresses (Care Compare)

1250 Shakespeare Ave
Bronx, NY 10452-3012
Phone (646) 350-1633

2015 Grand Ave
FL 1
Bronx, NY 10453-4611
Phone (718) 583-7736

2265 3Rd Ave
New York, NY 10035-2231
Phone 2122896650206

593 E Tremont Ave
Suite B
Bronx, NY 10457-4727
Phone (718) 583-7736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
075718NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
East Harlem Council for Human Services Inc CurrentSince Apr 1, 2025 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Aug 20, 2019 Accepting new patients
Shakespeare Operating LLC CurrentSince Jul 15, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Aug 20, 2019 Accepting new patients
Essen Medical Associates, PC CurrentSince Aug 20, 2019 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Sep 5, 2020 Accepting new patients
East Harlem Council for Human Services Inc CurrentSince Apr 1, 2025 Accepting new patients
Bronx Counseling Center LLC CurrentSince Aug 21, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jul 15, 2024 Accepting new patients
Jewish Board of Family and Children'S Services, Inc Past Accepting new patients
Service Program for Older People Past Accepting new patients

Locations

2015 Grand Concourse
#13202
Bronx, NY 10453

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

593 E Tremont Ave
Ste B
Bronx, NY 10457

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

2265 3rd Ave
New York, NY 10035
Phone (212) 289-6650

2253 3rd Ave
Fl 3
New York, NY 10035
Phone (212) 289-6650

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: juadan.rodriguez@ema.eclinicaldirectplus.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1902940331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352231",
            "telephone_number": "212-289-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352231",
            "telephone_number": "212-289-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JUADAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.