Organization Active NPI

Carmen J Rodriguez, MD PC

  • Preferred Provider Organization
  • Manhasset, NY
National Provider Identifier
1992030662
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
195330 Issued in NY
Legal business name
CARMEN J RODRIGUEZ, MD PC
Practice address
800 Community Dr
Suite 215
Manhasset, NY 11030-3822
Phone
(516) 365-2100
Fax
(516) 365-2124
NPI assigned
Oct 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Camen Julia Rodriguez, M.D.
Title
Physician
Phone
(516) 365-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 195330 NY Primary

Addresses

Primary practice location

800 Community Dr
Suite 215
Manhasset, NY 11030-3822

Mailing address

800 Community Dr
Suite 215
Manhasset, NY 11030-3822
Phone (516) 365-2100

National Provider Directory

National Provider Directory

Locations

800 Community Dr
Ste 302
Manhasset, NY 11030
Phone (516) 365-2100

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1992030662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COMMUNITY DR",
            "address_2": "SUITE 215",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303822",
            "telephone_number": "516-365-2100",
            "fax_number": "516-365-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COMMUNITY DR",
            "address_2": "SUITE 215",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303822",
            "telephone_number": "516-365-2100",
            "fax_number": "516-365-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN J RODRIGUEZ, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CAMEN",
        "authorized_official_middle_name": "JULIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-365-2100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "195330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.