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KEVYN RODRIGUEZ
NPI 1124611926
Social Worker in New York, NY

Active since February 12, 2021PECOS Enrolled
356 W 18TH ST, NEW YORK, NY 10011(212) 271-7200 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 4, 2025, Feb 12, 2021 (2 updates tracked since 2021).

About Kevyn Rodriguez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVYN RODRIGUEZ (NPI 1124611926) is an individual social worker in New York, New York, licensed in New York (098222-01) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Fordham University School Of Medicine (2018).

NPPES Registry Identity

NPI1124611926
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameKEVYN RODRIGUEZ
Location Address356 W 18TH STNew York, NY 10011-4401
Mailing Address255 Fort Washington Ave Apt 1New York, NY 10032-1253 · (860) 840-9458
Phone(212) 271-7200
Sole ProprietorYes
Medical School CMSFordham University School Of MedicineGraduated 2018
Enumeration DateFebruary 12, 2021
Last NPPES UpdateApril 4, 20252 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
✔ NPI 1124611926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 098222-01
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
356 W 18TH ST, New York, NY 10011
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Secondary Practice Location 1

Location 1401 W 47th St Apt 17New York, NY 10036-2335 · Phone (860) 840-9458

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevyn Rodriguez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719455088
PECOS Enrollment IDI20260505002334
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kevyn Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Metro Community Health Centers, Inc.
3.8 mi
Federally Qualified Health Center (FQHC)
177 LIVINGSTON ST LOWR LEVEL
Brooklyn, NY 11201
  • Reassigned Medicare billing, New York enrollment
  • 58 clinicians in this Medicare group
NPI 1972059467 (718) 855-7707

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IFEOMA BRENDA OKPALEKE FNP
Nurse Practitioner (Psychiatric/Mental Health)
356 W 18TH ST
NEW YORK, NY 10011
New York County (212) 271-7200
DR. JESSE DAVID BARRETT DDS
Dentist (General Practice)
356 W 18TH ST
NEW YORK, NY 10011
New York County (212) 271-7200
ERICA LEIGHTON TURETT
Social Worker (Clinical)
356 W 18TH ST
NEW YORK, NY 10011
New York County (212) 271-7200
MISS ERIN HERZOG LCSW
Social Worker (Clinical)
356 W 18TH ST
NEW YORK, NY 10011
New York County (212) 271-7206
JULIE UGORETZ
Social Worker (Clinical)
356 W 18TH ST
NEW YORK, NY 10011
New York County (347) 693-5422
PETER J MEACHER MD
Family Medicine
356 W 18TH ST
NEW YORK, NY 10011
New York County (212) 271-7173
KATHERINE TAVERAS LCSW-R
Social Worker (Clinical)
356 W 18TH ST
NEW YORK, NY 10011
New York County (212) 271-7200
DAWN PAGE RN, BSN
Registered Nurse (Psychiatric/Mental Health)
356 W 18TH ST
NEW YORK, NY 10011
New York County (212) 271-7200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevyn Rodriguez's NPI number?

The NPI number for Kevyn Rodriguez is 1124611926. It was assigned to this individual provider in the NPPES registry on February 12, 2021.

Where is Kevyn Rodriguez located?

Kevyn Rodriguez practices at 356 W 18th St, New York, NY 10011. The listed phone number is (212) 271-7200.

What is Kevyn Rodriguez's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kevyn Rodriguez enrolled in Medicare?

Yes. Kevyn Rodriguez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevyn Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevyn Rodriguez reassigns Medicare benefits to Metro Community Health Centers, Inc. (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevyn Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevyn Rodriguez was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.