Giankarlos Rodriguez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP01045500 Issued in NJ

Practice address

1410 Delsea Dr
Deptford, NJ 08096-4101

Phone

(856) 579-8897

NPI assigned

Jul 2, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1912824756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 DELSEA DR",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080964101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 DELSEA DR",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080964101",
            "telephone_number": "856-579-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GIANKARLOS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA067730",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP01045500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Pernice, RDN
• Kathleen Marie Pilarz
• Kathryn Rathman, PT, DPT
• Bridgette Kathryn Remster, PHARM.D.
• Ashley Orielle Roane, APN
• Sierra Rosales, MS, RDN
• Jessica Rosen, CCC-SLP
• Rowan College at Gloucester County
• Jessica Lynn Saad, PHARM.D.
• Kelly Anne Sabo, OTR/L

• Physician Assistant in Deptford, NJ
• Providers in Deptford, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.