Magdalena Tan Rodriguez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

199638 Issued in NY

Practice address

5053 Newtown Rd
Woodside, NY 11377-1731

Phone

(718) 334-6140

Fax

(718) 334-6137

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942396858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY",
            "address_2": "MANAGED CARE, D1-01",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-1921",
            "fax_number": "718-334-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5053 NEWTOWN RD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771731",
            "telephone_number": "718-334-6140",
            "fax_number": "718-334-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MAGDALENA",
        "middle_name": "TAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "199638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330128",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fatima Rizvi, PHARM.D.
• RM NP in Adult Health P C
• Margaret Robinette
• Ines Robles, LMSW
• Lillian Rodriguez, LMSW
• David Rojas
• Sylvia Maria Rojas
• Thalia Rojas
• Rolando M. Melendez DPM PC
• Diane Marian Roma, MSW, DSW

• Pediatrics Physician in Woodside, NY
• Providers in Woodside, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.