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DR. JOSEPH A RODRIGUEZ M.D.
NPI 1164594990
Internal Medicine - Endocrinology, Diabetes & Metabolism in Toms River, NJ

Active since November 15, 2006PECOS Enrolled
20.33/100
CMS Quality Rating
1314 HOOPER AVE, SUITE 3, TOMS RIVER, NJ 08753(732) 244-9989(732) 341-9920 Get Directions Write a Review

NPPES record last updated: July 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Joseph A Rodriguez M.d. NPPES

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

DR. JOSEPH A RODRIGUEZ M.D. (NPI 1164594990) is an individual endocrinology, diabetes & metabolism provider in Toms River, New Jersey, licensed in New Jersey (25MA05667600) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164594990
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. JOSEPH A RODRIGUEZCredential: M.D.
Location Address1314 HOOPER AVE, SUITE 3Toms River, NJ 08753-2975
Mailing Address1314 Hooper Ave, Suite 3Toms River, NJ 08753-2975 · (732) 244-9989 · Fax (732) 341-9920
Phone(732) 244-9989
Fax(732) 341-9920
Sole ProprietorYes
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 2, 2010
✔ NPI 1164594990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NJ · 25MA05667600
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1314 HOOPER AVE, Toms River, NJ 08753
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified741551P9HNJ
Medicare UPINF54904NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joseph A Rodriguez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
937 services496 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
288 services143 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
174 services150 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
96 services83 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment 95250
This process involves a tiny sensor placed under your skin that checks your blood sugar levels in tissue fluid regularly. The sensor sends these readings to a device, allowing you to track your levels in real-time. This is provided by your healthcare provider.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

20.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost67.76

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%2,300 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
27%1,059 patients2/55-star benchmark: 100%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
22%1,189 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers34 claims442 services$18.21 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers34 claims1,245 services$2.35 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
70 suppliers506 claims1,807 services$6.17 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
6 suppliers31 claims33 services$2.82 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
4 suppliers11 claims11 services$1.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
37 suppliers152 claims262 services$1.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

SLOAN DENTAL PC
Dentist (General Practice)
1314 HOOPER AVE, SUITE 2
TOMS RIVER, NJ 08753
Ocean County (732) 286-7600
DR. DEBORAH J CAMISCOLI M.D.
Internal Medicine
1314 HOOPER AVE
TOMS RIVER, NJ 08753
Ocean County (732) 349-4994
REZA RAZVI DO
Pediatrics
1314 HOOPER AVE
TOMS RIVER, NJ 08753
Ocean County (732) 255-7553
DR. ANGELA M ADELIZZI D.O.
Internal Medicine
1314 HOOPER AVE
TOMS RIVER, NJ 08753
Ocean County (732) 349-4994
STAT RADIOLOGY LLC
Clinic/Center (Radiology)
1314 HOOPER AVE
TOMS RIVER, NJ 08753
Ocean County (732) 240-6606
LETITIA PICKEL, LLC
Community/Behavioral Health
1314 HOOPER AVE
TOMS RIVER, NJ 08753
Ocean County (609) 991-1222
DR. SALMA HAQUE M.D.
Internal Medicine
1314 HOOPER AVE, BLDG B 2ND FLOOR
TOMS RIVER, NJ 08753
Ocean County (732) 349-4994
EMILY M OLSEN
Registered Nurse (Diabetes Educator)
1314 HOOPER AVE
TOMS RIVER, NJ 08753
Ocean County (848) 238-0708

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 Joseph Rodriguez's NPI number?

The NPI number for Joseph Rodriguez is 1164594990. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Joseph Rodriguez located?

Joseph Rodriguez practices at 1314 Hooper Ave Suite 3, Toms River, NJ 08753. The listed phone number is (732) 244-9989.

What is Joseph Rodriguez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Joseph Rodriguez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Joseph Rodriguez was last updated on July 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.