IDELKA GRISSELLE RODRIGUEZ


Address: 2300 Westchester Ave, Bronx, NY 10462-5072
Phone: 7188091900

IDELKA GRISSELLE RODRIGUEZ (NPI# 1679976682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679976682
Entity Type Individual
Full Name IDELKA GRISSELLE RODRIGUEZ
Other Name IDELKA GRISELLE RODRIGUEZ-ROSARIO
Practice Address 2300 Westchester Ave
Bronx
NY 10462-5072
Practice Telephone 7188091900
Practice Fax Number 7184098031
Mailing Telephone 7188091900
Mailing Fax Number 7184098031
Enumeration Date 2014-10-03
Last Update Date 2017-02-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
277621 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 2300 WESTCHESTER AVE
City BRONX
State NY
Zip Code 10462-5072

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225016082 Herzl Ragins Surgery 2300 Westchester Ave, Main Floor Ste C-1, Bronx, NY 10462 2006-01-03
1720607781 Joan Irene Alciati Registered Nurse 2300 Westchester Ave, Bronx, NY 10462-5072 2020-04-10
1205461126 Joseph Lopez Health Educator 2300 Westchester Ave, Bronx, NY 10462-5072 2020-03-11
1184264996 Erin Marie Smith Physical Therapist 2300 Westchester Ave, Bronx, NY 10462-5072 2020-01-09
1861041659 Emily Lavigna Physician Assistant 2300 Westchester Ave, Bronx, NY 10462-5072 2019-09-05
1114582327 Lauren Vetere Social Worker 2300 Westchester Ave, Bronx, NY 10462-5072 2019-05-02
1649745076 Sanoj Muttathu Joseph Nurse Practitioner 2300 Westchester Ave, Bronx, NY 10462-5072 2018-10-12
1437674306 Thuha Minh Le Occupational Therapist 2300 Westchester Ave, Bronx, NY 10462-5072 2017-08-11
1679024046 Raveen Smith Social Worker 2300 Westchester Ave, Bronx, NY 10461 2016-10-20
1558811281 Daniella Devita Speech-Language Pathologist 2300 Westchester Ave, Bronx, NY 10462-5072 2016-10-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629616198 Ark Orthodontics Pllc Dentist 1332 Metropolitan Ave A/b, Bronx, NY 10462 2019-12-16
1568007714 Afrah Saleh Abisse Student in an Organized Health Care Education/Training Program 715 Van Nest Ave Apt 2d, Bronx, NY 10462 2019-11-12
1255981486 Angelica Cruz Behavior Technician 727 Morris Park Ave # 3653, Bronx, NY 10462 2019-09-19
1366907644 Rebekah Rehab Assisted Living Program, Inc. Assisted Living Facility 1050 Havemeyer Ave, Bronx, NY 10462 2019-01-31
1598235467 Windsor Leasing Corp. Non-emergency Medical Transport (VAN) 1598 Bronxdale Ave., Bronx, NY 10462 2018-12-04
1255807640 Winchie Do Pharmacist 1660 Paulding Ave, Bronx, NY 10462 2018-10-23
1477033843 Silva Stars Transportation Non-emergency Medical Transport (VAN) 2187 Cruger Ave, Suite 2d, Bronx, NY 10462 2018-08-15
1063926962 Pelham Pkwy Professional Medical Services of New York LLC Surgery 2157 White Plains Rd Ste A, Bronx, NY 10462 2017-11-30
1972035749 Kalor Riley Occupational Therapy Assistant 2165 Matthews Ave Apt2h, Bronx, NY 10462 2017-03-31
1992247472 Jora Mgt, Corp Non-emergency Medical Transport (VAN) 1598 Bronxdale Ave, Bronx, NY 10462 2016-11-15
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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316316789 Balance Medical Professional Primary Services Pllc Family Medicine 1150 Webster Ave., Bronx, NY 10456 2015-09-16
1467857508 Arghavan Sadeghizangeneh Family Medicine 1276 Fulton Ave Fl 4, Bronx, NY 10456-3402 2014-10-31
1619983251 Elisa Jacqueline Valencia-sanchez Family Medicine 130 W Kingsbridge Rd, Bronx, NY 10468-3904 2006-08-01
1528081320 Brian Delaney Family Medicine 2371 Arthur Ave, Bronx, NY 10458-8113 2006-07-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245682475 Salut Medical PC Family Medicine 699 Stanley Ave, Brooklyn, NY 11207-7905 2016-07-12
1225416837 Good Neighbor Family Practice and Geriatrics, P.C. Family Medicine 13338 41st Rd Ste Co-3, Flushing, NY 11355-3782 2015-05-14
1245667930 Yelena Faynzilbert Do Pllc Family Medicine 62 Stratford Green, Farmingdale, NY 11735 2013-09-26
1063779346 Melissa Borrero Md, Pllc Family Medicine 405 E 116th St, Unit 2, New York, NY 10029-1623 2012-04-11
1588943047 J&j Star Medical Pllc Family Medicine 9320 70th Ave, Forest Hills, NY 11375-5828 2011-08-15
1629360995 Eugene A Steinberg Md PC Family Medicine 8 Thames Ct, Getzville, NY 14068-1177 2011-05-05
1891010781 Christine R. Viola Family Medicine 415 Ocean Pkwy, 4a, Brooklyn, NY 11218-4748 2010-04-02
1518190305 Raouf Kodsy Physician PC Family Medicine 1644 Genesee St, Utica, NY 13502-5428 2009-08-27
1467694703 Amandeep Pal Family Medicine 6334 Robinson Rd, Lockport, NY 14094 2009-04-01
1154586295 Wilhelm Gustav Hansen Family Medicine 1013 Hector St, Ithaca, NY 14850-2037 2008-07-28
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Competitor

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City BRONX
Zip Code 10462

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Dataset Information

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.

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