Active NPIIndividual providerSole proprietor

Mr. Santiago M Rodriguez, NP

Nurse Practitioner, Family in Lyndhurst, New Jersey

NPI Number1508607128
Practice location
750 Valley Brook Ave # 7071, Lyndhurst, NJ 07071-1301
Fax
—
Last updated
June 6, 2024

Santiago Martin Rodriguez is a Nurse Practitioner, Family based in Lyndhurst, NJ. Santiago Martin Rodriguez practices in Lyndhurst, NJ and has the professional credentials of NP. The NPI Number for Santiago Martin Rodriguez is 1508607128 and holds a License No. 26NJ15050200 (NJ). The current practice location address for Santiago Martin Rodriguez is 750 Valley Brook Ave # 7071, Lyndhurst, NJ 07071-1301 and can be reached out via phone at 201-896-0900.

Provider Profile Details

NPI Number
1508607128
Provider Name
Santiago Martin Rodriguez
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
750 Valley Brook Ave # 7071, Lyndhurst, NJ 07071-1301
Phone Number
201-896-0900
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
June 6, 2024
Last Update Date
June 6, 2024
Certification Date
June 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
750 Valley Brook Ave # 7071
Lyndhurst, NJ 07071-1301
Zip
07071-1301
Phone Number
201-896-0900
Lyndhurst, NJ 07071Get directions →

Provider Business Mailing Address Details

Address
507 Bloomfield Ave Apt 5G
Caldwell, NJ 07006-5416
City
Caldwell
State
NJ
Zip
07006-5416
Phone Number
973-525-6894

License Information

License Number
26NJ15050200
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Santiago M Rodriguez, NP?

The NPI number of Mr. Santiago M Rodriguez, NP is 1508607128. It was assigned on June 6, 2024 and is currently active in the NPPES registry.

What is the specialty of Mr. Santiago M Rodriguez, NP?

Mr. Santiago M Rodriguez, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ15050200.

Where does Mr. Santiago M Rodriguez, NP practice?

The practice location is 750 Valley Brook Ave # 7071, Lyndhurst, NJ 07071-1301. The office can be reached at 201-896-0900 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508607128 directly on the NPPES registry website.

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