RODLIE JEAN NP
NPI 1154363083
Physician Assistant - Medical in East Meadow, NY
About Rodlie Jean Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RODLIE JEAN NP (NPI 1154363083) is an individual medical provider in East Meadow, New York, licensed in New York (007689) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rodlie Jean Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
EAST MEADOW, NY 11554
EAST MEADOW, NY 11554
EAST MEADOW, NY 11554
EAST MEADOW, NY 11554
EAST MEADOW, NY 11554
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 Rodlie Jean's NPI number?
The NPI number for Rodlie Jean is 1154363083. It was assigned to this individual provider in the NPPES registry on June 12, 2006.
Where is Rodlie Jean located?
Rodlie Jean practices at 2201 Hempstead Tpke, East Meadow, NY 11554. The listed phone number is (516) 572-3924.
What is Rodlie Jean's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Rodlie Jean enrolled in Medicare?
Yes. Rodlie Jean is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Rodlie Jean was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Rodlie Jean, NP · NPI 1154363083
Medical physician in East Meadow, New York. Individual provider, active in the CMS NPPES registry since June 12, 2006.
## Identity
- **NPI:** 1154363083 (Entity type: Individual)
- **Enumerated:** June 12, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 007689 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2201 HEMPSTEAD TPKE, East Meadow, NY 11554-1859
- **Phone:** (516) 572-3924
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 10, 2008
- **Other identifiers:** Medicare PIN 6575234391 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1154363083) · Data from the CMS NPPES public registry.