Active NPI
Rodgie Pena
- Physical Medicine & Rehabilitation Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 62P13037101
- Practice address
- 817 E 180TH St
Bronx, NY 10460-1305 - Phone
- (718) 355-9652
- NPI assigned
- Sep 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 62P13037101 | NY | Primary |
Addresses
Primary practice location
817 E 180TH St
Bronx, NY 10460-1305
Mailing address
817 E 180TH St
Bronx, NY 10460-1305
Phone (718) 355-9652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Saint Georges Ave
Suite 107
Rahway, NJ 07065-2713
Phone (732) 428-5566
1700 State RT
Suite 3
Clifton, NJ 07013-3928
Phone (862) 591-1000
408 Pompton Ave
Cedar Grove, NJ 07009-1813
Phone (973) 433-0732
799 Morris Park Ave
Bronx, NY 10462-3604
Phone (718) 684-6300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62P13037101 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holsman Physical Therapy and Wellness PC | Current | Accepting new patients | |
| Holsman Physical and Occupational Therapy, PC | Current | Accepting new patients | |
| Holsman Physical and Occupational Therapy PC | Current | Accepting new patients | |
| Home Therapy PT Physical and Occupational Therapy LLC | Current | Accepting new patients | |
| Holsman Physical Therapy and Rehabilitation PC | Current | Accepting new patients | |
| Home Therapy, LLC | Current | Accepting new patients |
Locations
408 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 433-0732
1700 State Rt 3
Clifton, NJ 07013
Phone (862) 249-4901
1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565
1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566
799 Morris Park Ave
Bronx, NY 10462
Phone (718) 684-6300
817 E 180th St
Bronx, NY 10460
Phone (718) 220-8300
Organizations & group practices 6
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.
-
- Geriatric Physical Therapist
- Bronx, NY
- NPI 1275884348
-
- Geriatric Physical Therapist
- Rahway, NJ
- NPI 1114276441
-
- Geriatric Physical Therapist
- Cedar Grove, NJ
- NPI 1578816179
-
- Geriatric Physical Therapist
- Clifton, NJ
- NPI 1295962835
-
- Geriatric Physical Therapist
- Clifton, NJ
- NPI 1629350467
-
- Physical Therapist
- Rahway, NJ
- NPI 1659079069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1962220194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 E 180TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104601305",
"telephone_number": "718-355-9652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 E 180TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104601305",
"telephone_number": "718-355-9652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "RODGIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-27",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "62P13037101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.