Active NPI
Andy Rodriguez, MD
- Clinical Neurophysiology Physician
- Livingston, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- 25MA09318400
- Practice address
- 200 S Orange Ave
Suite 101
Livingston, NJ 07039-5817 - Phone
- (973) 322-7580
- Fax
- (973) 322-7505
- NPI assigned
- Apr 26, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Epilepsy Physician | 2084E0001X | 25MA09318400 | NJ | |
| Neurology Physician | 2084N0400X | 25MA09318400 | NJ | |
| Clinical Neurophysiology Physician | 2084N0600X | 25MA09318400 | NJ | Primary |
Addresses
Primary practice location
200 S Orange Ave
Suite 101
Livingston, NJ 07039-5817
Mailing address
200 S Orange Ave
Suite 101
Livingston, NJ 07039-5817
Phone (973) 322-7580
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1625 Anderson Ave
Suite 204
Fort Lee, NJ 07024-2748
Phone (201) 224-0011
200 S Orange Ave
Livingston, NJ 07039-5817
Phone (973) 332-7580
300 2ND Ave
Long Branch, NJ 07740-6303
Phone (732) 923-7700
Hospital & facility affiliations
- Cooperman Barnabas Medical Center
- Clara Maass Medical Center
- Monmouth Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09318400 | NJ | MD | Clinical Neurophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group, PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Hudson MD Group | Current | Accepting new patients | |
| David W. Lee MD PA | Past | Accepting new patients |
Locations
1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
200 S Orange Ave
Ste 101
Livingston, NJ 07039
Phone (973) 322-7580
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
200 S Orange Ave
Ste 165
Livingston, NJ 07039
Phone (973) 322-7580
200 S Orange Ave
#165
Livingston, NJ 07039
Phone (973) 322-7580
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
784 Grand Ave
Ste 201
Ridgefield, NJ 07657
Phone (201) 346-0999
633 Route 37 W
Toms River, NJ 08755
Phone (732) 240-4787
9 Hospital Dr
Ste A22
Toms River, NJ 08755
Phone (973) 429-1300
223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838
443 Northfield Ave
West Orange, NJ 07052
Phone (973) 324-0103
Interoperability endpoints
- arodriguez129406@epicdirect.rwjbh.org
Organizations & group practices 5
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.
-
- Specialist
- West Orange, NJ
- NPI 1447206420
-
- Family Medicine Physician
- Englewood Cliffs, NJ
- NPI 1497301998
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- Adult Medicine Physician
- Fort Lee, NJ
- NPI 1932394079
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Belleville, NJ
- NPI 1902901333
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
-
- General Acute Care Hospital
- Long Branch, NJ
- NPI 1609983790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1972820330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S ORANGE AVE",
"address_2": "SUITE 101",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395817",
"telephone_number": "973-322-7580",
"fax_number": "973-322-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S ORANGE AVE",
"address_2": "SUITE 101",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395817",
"telephone_number": "973-322-7580",
"fax_number": "973-322-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ANDY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-26",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "NJ",
"license": "25MA09318400",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA09318400",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "NJ",
"license": "25MA09318400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.
- 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.