DR. MICHAEL B RODRICKS (NPI# 1497732879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497732879 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL B RODRICKS |
| Credential | MD |
| Practice Address |
285 Davidson Ave Suite 204 Somerset NJ 08873-4153 |
| Practice Telephone | 7322711400 |
| Practice Fax Number | 7322713544 |
| Mailing Telephone | 7322711400 |
| Mailing Fax Number | 7322713544 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2016-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 25MA07126600 | NJ | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | ME81398 | FL | Allopathic & Osteopathic Physicians |
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
ME81398 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 51894 | 01 |
| FL | 260314400 | 05 |
| Street Address |
285 DAVIDSON AVE SUITE 204 |
| City | SOMERSET |
| State | NJ |
| Zip Code | 08873-4153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982080107 | Bayada Home Health Care, Inc. | Home Health | 285 Davidson Ave, Somerset, NJ 08873-4153 | 2015-08-11 |
| 1841546389 | Shivani Thakkar | Anesthesiology | 285 Davidson Ave, Ste 204, Somerset, NJ 08873 | 2012-08-02 |
| 1952667867 | Gaurav Patel | Anesthesiology | 285 Davidson Ave, Somerset, NJ 08873 | 2012-04-04 |
| 1053622605 | Daniela E Cean | Anesthesiology | 285 Davidson Ave, Suite 204, Somerset, NJ 08873-4153 | 2010-06-29 |
| 1750601068 | Sanford Ginsberg | Anesthesiology | 285 Davidson Ave, Suite 204, Somerset, NJ 08873-4153 | 2010-06-09 |
| 1568796530 | Mamdoh Michael | Nurse Anesthetist, Certified Registered | 285 Davidson Ave, Suite 204, Somerset, NJ 08873-4153 | 2009-09-24 |
| 1619173341 | Amanda R Roy | Anesthesiology | 285 Davidson Ave, Suite 204, Somerset, NJ 08873-4153 | 2007-06-21 |
| 1801090667 | Jeremy Lawrence Baron | Anesthesiology | 285 Davidson Ave, Ste 204, Somerset, NJ 08873-4153 | 2007-06-13 |
| 1104027390 | Ravi Venkata Gangavalli | Anesthesiology | 285 Davidson Ave, Suite 204, Somerset, NJ 08873-4153 | 2007-05-29 |
| 1669686044 | Abraham Simon | Anesthesiology | 285 Davidson Ave, Suite 204, Somerset, NJ 08873-4153 | 2007-05-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204939 | Mark Anthony Diehl | Physical Medicine & Rehabilitation | 1553 State Highway 27, Suite 3100, Somerset, NJ 08873 | 2020-10-29 |
| 1447859483 | Somerset Senior Care, LLC | Assisted Living Facility | 1870 Easton Avenue, Somerset, NJ 08873 | 2020-10-21 |
| 1902415748 | Theranorth Services, LLC | Day Training, Developmentally Disabled Services | 1075 Easton Ave., Tower 2 #4, Somerset, NJ 08873 | 2020-07-28 |
| 1710461157 | Rachnaben Tripathi | Clinic/Center | New Life Adult Daycare, 727 Franklin Blvd., Suite 6, Somerset, NJ 08873 | 2018-09-21 |
| 1487149431 | Dungarvin New Jersey, LLC-rachel | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Rachel Court, Somerset, NJ 08873 | 2018-06-22 |
| 1881192714 | Maggy Lawrence | Nurse Practitioner | 1553 Nj-27, Somerset, NJ 08873 | 2018-01-25 |
| 1548779333 | Alternatives, Inc. | Community/Behavioral Health | 10 Vince Rd, Somerset, NJ 08873 | 2017-09-25 |
| 1659893014 | John Okoye | Case Manager/Care Coordinator | 873 Hamilton Street Unit A, Somerset, NJ 08873 | 2017-07-07 |
| 1245766252 | Salma Khan | Dentist | 1543 Nj 27, Somerset, NJ 08873 | 2017-05-11 |
| 1861927238 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1jfk Boulevard, Unit 1f, Somerset, NJ 08873 | 2017-04-24 |
| Find all providers in zip 08873 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538507389 | Bishoy F Hanna | Anesthesiology | 73 Winding Wood Dr Apt 4a, Sayreville, NJ 08872-2036 | 2013-06-13 |
| 1952649766 | Rita Grant Newman | Anesthesiology | 8 Dale Ave, Pompton Plains, NJ 07444-1339 | 2013-01-29 |
| 1689830960 | Brian Chu M.d.,p.c. | Anesthesiology | 52 Edelweiss Ln, Voorhees, NJ 08043-2819 | 2008-08-05 |
| 1962472407 | Douglas T Jackson | Anesthesiology | 150 Bargen St, F 102, Newark, NJ 07103 | 2006-01-26 |
| 1326445123 | St. Luke's Warren Physician Group, PC | Anesthesiology | 185 Roseberry St, Phillipsburg, NJ 08865-1690 | 2014-11-24 |
| 1528298817 | Intensivists At Highland Pa | Anesthesiology | 1 Bay Avenue, Monclair, NJ 07042 | 2009-07-21 |
| 1104072727 | Syed Ali Riaz | Anesthesiology | 141 Route 70 E Ste B, Marlton, NJ 08053 | 2008-08-14 |
| 1700043668 | Victor I Adamov | Anesthesiology | 1 Cooper Plaza, Anesthesiology Department, Camden, NJ 08103-1489 | 2008-05-19 |
| 1750572541 | Ghias Moussa Md | Anesthesiology | 1815 Kennedy Blvd, Jersey City, NJ 07305-2180 | 2007-08-06 |
| 1952515751 | Elizabeth Kay Riccobono | Anesthesiology | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 2007-05-10 |
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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.