Individual provider Active NPI

Josephine Vanessa Rodriguez, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1952165003
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15044500 Issued in NJ
Practice address
550 Broad St Ste 606
Newark, NJ 07102-4537
Phone
(201) 822-1161
NPI assigned
Feb 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15044500 NJ Primary

Addresses

Primary practice location

550 Broad St Ste 606
Newark, NJ 07102-4537

Mailing address

35 Stratford Rd
Dumont, NJ 07628-1123
Phone (201) 925-7633

Other practice location 1

510 Mount Prospect Ave
Newark, NJ 07104-2904
Phone (201) 925-7633

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
I20240722002254 NJ Practitioner - Nurse Practitioner 8123564507 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Behavioral Healthcare, Inc.Group PAC ID 4486640653, 23 clinicians
Freeway Psychiatry PCGroup PAC ID 6901274844, 10 clinicians

Practice addresses (Care Compare)

516 Valley Brook Ave
Lyndhurst, NJ 07071-1930
Phone (201) 935-3322

569 Broadway
Westwood, NJ 07675-1663
Phone (201) 957-1800

9225 John F Kennedy Blvd
North Bergen, NJ 07047-5361
Phone (201) 500-9755

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acp Psychiatric Services Psychiatric/Mental Health CurrentSince May 4, 2026 Accepting new patients
North Ward Behavioral Health Center LLC CurrentSince Jun 1, 2024 Accepting new patients
Call to Care LLC CurrentSince Jun 1, 2024 Accepting new patients
North Ward Medical Arts LLC CurrentSince Apr 21, 2024 Accepting new patients
Metropolitan Medical Group LLC CurrentSince Jun 1, 2024 Accepting new patients
JLS Medical PC Psychiatric/Mental Health CurrentSince Oct 10, 2025 Accepting new patients
Senior Healthcare Outreach Program CurrentSince Jun 1, 2024 Accepting new patients
Comprehensive Behavioral Healthcare, Inc. CurrentSince Oct 10, 2025 Accepting new patients
Salerno Medical Associates, LLC CurrentSince Jun 1, 2024 Accepting new patients
Roseville Medical Society LLC CurrentSince Jun 1, 2024 Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation PastSince Oct 10, 2025 Accepting new patients

Locations

613 Park Ave
East Orange, NJ 07017
Phone (973) 672-2455

613 Park Ave
Fl 2
East Orange, NJ 07017
Phone (973) 485-6433

613 Park Ave
Fl 1
East Orange, NJ 07017
Phone (973) 556-0955

516 Valley Brook Ave
Lyndhurst, NJ 07071
Phone (201) 935-3322

485 Mount Prospect Ave
Fl 1
Newark, NJ 07104
Phone (973) 485-6433

510 Mount Prospect Ave
Newark, NJ 07104
Phone (201) 925-7633

346 Roseville Ave
Newark, NJ 07107
Phone (973) 482-7245

550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525

523 Park Ave
Orange, NJ 07050
Phone (862) 229-1516

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13207/brand/1/csg/1/fhir/r4

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": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1952165003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 STRATFORD RD",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281123",
            "telephone_number": "201-925-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 BROAD ST STE 606",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024537",
            "telephone_number": "201-822-1161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Mount Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071042904",
            "country_code": "US",
            "telephone_number": "201-925-7633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSEPHINE",
        "middle_name": "VANESSA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15044500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.