Organization Active NPI

Maria a. Rodino MD LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Westwood, NJ
National Provider Identifier
1922444868
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
25MA06669300 Issued in NJ
Legal business name
MARIA A. RODINO MD LLC
Practice address
219 Old Hook Rd
Suite 2C
Westwood, NJ 07675-3131
Phone
(201) 722-0600
Fax
(201) 722-0687
NPI assigned
May 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Maria A Rodino, MDNPI 1497820906
Title
Owner
Phone
(201) 722-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RE0101X 25MA06669300 NJ Primary

Addresses

Primary practice location

219 Old Hook Rd
Suite 2C
Westwood, NJ 07675-3131

Mailing address

219 Old Hook Rd
Suite 2C
Westwood, NJ 07675-3131
Phone (201) 722-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130530000139 NJ Part B Supplier - Clinic/Group Practice 2860630084 Receives reassigned benefits from 1 practitioner
Practice locations: Westwood, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1013545Maria a Rodino MD LLC219 Old Hook Road Suite 2C, Westwood, NJ 07675Certificate of waiverJun 10, 2027

National Provider Directory

National Provider Directory

Locations

219 Old Hook Rd
Ste 2C
Westwood, NJ 07675
Phone (201) 722-0600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1922444868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 OLD HOOK RD",
            "address_2": "SUITE 2C",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753131",
            "telephone_number": "201-722-0600",
            "fax_number": "201-722-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 OLD HOOK RD",
            "address_2": "SUITE 2C",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753131",
            "telephone_number": "201-722-0600",
            "fax_number": "201-722-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA A. RODINO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "RODINO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-722-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA06669300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.