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SAMANTHA RIVAS RODRIGUEZ
NPI 1205679834
Student in an Organized Health Care Education/Training Program in Forest Hills, NY

Active since June 12, 2024
11655 QUEENS BLVD STE 216, FOREST HILLS, NY 11375(212) 470-1382 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2025, Jun 17, 2024, Jun 12, 2024 (3 updates tracked since 2024).

About Samantha Rivas Rodriguez NPPES

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

SAMANTHA RIVAS RODRIGUEZ (NPI 1205679834) is an individual student in an organized health care education/training program in Forest Hills, New York and active in the NPI registry since June 2024. She maintains a secondary practice location in Plainview.

NPPES Registry Identity

NPI1205679834
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA RIVAS RODRIGUEZ
Location Address11655 QUEENS BLVD STE 216Forest Hills, NY 11375-6527
Mailing Address2104 Bronx Park E Apt 3aBronx, NY 10462-2212 · (347) 324-4978
Phone(212) 470-1382
Sole ProprietorNo
Enumeration DateJune 12, 2024
Last NPPES UpdateMarch 28, 20253 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1205679834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialistTaxonomy 174400000X
11655 QUEENS BLVD STE 216, Forest Hills, NY 11375
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Secondary Practice Location 1

Location 1255 Executive Dr Ste Ll105Plainview, NY 11803-1718 · Phone (516) 576-2040

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.

KIMBERLY CAMPOS JIMENEZ
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659
ETHAN JOEL HADDAD
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659
JEMYCHELLE TODOROVICH
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659
JAILYN DIAZ
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659
KHYLAR SANDERS
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659
REBECCA KIM
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659
DELL WEDNESDAE TANGENTE
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 470-1382
TRICIA HARRELL
Behavior Analyst
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Queens County (212) 804-7659

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 Samantha Rivas Rodriguez's NPI number?

The NPI number for Samantha Rivas Rodriguez is 1205679834. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Where is Samantha Rivas Rodriguez located?

Samantha Rivas Rodriguez practices at 11655 Queens Blvd Ste 216, Forest Hills, NY 11375. The listed phone number is (212) 470-1382.

What is Samantha Rivas Rodriguez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samantha Rivas Rodriguez was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.