ANDREA M RODOLICO (NPI# 1154984946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154984946 |
| Entity Type | Individual |
| Full Name | ANDREA M RODOLICO |
| Practice Address |
2707 Hylan Blvd Staten Island NY 10306-4657 |
| Mailing Address |
140 Reno Ave Staten Island NY 10306-4234 |
| Practice Telephone | 3477072441 |
| Mailing Telephone | 3477072441 |
| Mailing Fax Number | 9177820802 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
2707 HYLAN BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10306-4657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124519285 | Sherry Snyder | Case Manager/Care Coordinator | 2707 Hylan Blvd, Staten Island, NY 10306-4657 | 2018-05-24 |
| 1811534126 | Anati Grun X | Case Manager/Care Coordinator | 2707 Hylan Blvd, Staten Island, NY 10306-4657 | 2019-12-05 |
| 1346883907 | Jennifer Weile | Assistant Behavior Analyst | 2707 Hylan Blvd, Staten Island, NY 10306-4657 | 2019-10-25 |
| 1912461492 | Jackie Leaks | Case Manager/Care Coordinator | 2707 Hylan Blvd, Staten Island, NY 10306-4657 | 2019-01-29 |
| 1245700103 | Christine Zmigrodski | Specialist | 2707 Hylan Blvd, Staten Island, NY 10306-4657 | 2018-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737372 | Nancy Burns | Counselor | 345 Guyon Ave # 14, Staten Island, NY 10306 | 2020-07-14 |
| 1710537642 | Happy Island Senior Center LLC | Clinic/Center | 555 Greeley Ave, Staten Island, NY 10306 | 2019-09-12 |
| 1215580055 | Keann Pender | Counselor | 345 Guyon Ave Rm 14, Staten Island, NY 10306 | 2019-07-22 |
| 1346751435 | Amanda Nicole Lewis | Speech-Language Pathologist | 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 | 2017-10-17 |
| 1649793142 | Olympia Services Inc | Radiology | 1913 Olympia Blvd., Staten Island, NY 10306 | 2017-07-18 |
| 1265961601 | A & S Educational Technology Inc. | Early Intervention Provider Agency | 99 Sydney Pl, Staten Island, NY 10306 | 2017-06-08 |
| 1124489638 | Prospect Kids, LLC | Early Intervention Provider Agency | 21 Kayla Court, Staten Island, NY 10306 | 2016-03-10 |
| 1124498407 | Tatyana Kateva | Registered Nurse | 1975 Hylan Blvd Suite 1, Staten Island, NY 10306 | 2015-09-30 |
| 1336536275 | Natallia Verbitsky | Occupational Therapist | 165 Twombly Ave, Staten Island, NY 10306 | 2015-04-17 |
| 1922491745 | Evan Ross Cohen | Dentist | 1975 Hylan Blvd., Unit #2, Hylan Dental Arts, Staten Island, NY 10306 | 2015-03-18 |
| Find all providers in zip 10306 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797091 | Yuliya Levakova | Case Manager/Care Coordinator | 146 Macfarland Ave, Staten Island, NY 10305-4448 | 2020-10-10 |
| 1215553987 | Rachel Marita Hurley | Case Manager/Care Coordinator | 777 Seaview Ave # Bulding9, Staten Island, NY 10305-3409 | 2020-06-18 |
| 1154953958 | Pak Ling Cheung | Case Manager/Care Coordinator | 165 Alter Ave, Staten Island, NY 10304-3923 | 2020-02-10 |
| 1487297362 | Queen Monique Simmons | Case Manager/Care Coordinator | 777 Seaview Ave Bldg 9, Staten Island, NY 10305-3409 | 2019-10-23 |
| 1033770219 | Jazmin Diaz | Case Manager/Care Coordinator | 226 Netherland Ave, Staten Island, NY 10303-2211 | 2019-06-27 |
| 1114584620 | Keishla Marie Davila | Case Manager/Care Coordinator | 385 Oakdale St, Staten Island, NY 10312-5041 | 2019-05-21 |
| 1558841387 | Kristin Michele Cartusciello | Case Manager/Care Coordinator | 358 Saint Marks Pl Fl 3, Staten Island, NY 10301-2417 | 2018-08-21 |
| 1164900346 | Nicole Lynette Fenton | Case Manager/Care Coordinator | 135 Corson Ave, Staten Island, NY 10301-2933 | 2018-07-31 |
| 1124519285 | Sherry Snyder | Case Manager/Care Coordinator | 2707 Hylan Blvd, Staten Island, NY 10306-4657 | 2018-05-24 |
| 1306352042 | Chanel Pranckevicus | Case Manager/Care Coordinator | 29 Warren St Apt 8k, Staten Island, NY 10304-2537 | 2017-12-18 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10306 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.