ELLEN RODRIGUEZ FNP
NPI 1225892136
Nurse Practitioner - Family in New York, NY

Active since February 12, 2024PECOS Enrolled
30 BROAD ST, NEW YORK, NY 10004(888) 401-6582 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen Rodriguez Fnp NPPES

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

ELLEN RODRIGUEZ FNP (NPI 1225892136) is an individual family provider in New York, New York, licensed in New Jersey (26NJ15017900) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225892136
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELLEN RODRIGUEZCredential: FNP
Location Address30 BROAD STNew York, NY 10004-2304
Mailing Address38 Townsend CtFranklin Park, NJ 08823-1520 · (862) 324-4242
Sole ProprietorNo
Enumeration DateFebruary 12, 2024
Last NPPES UpdateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
NPI 1225892136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NJ · 26NJ15017900
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR20219700 (NJ), 767501 (NY)
30 BROAD ST, New York, NY 10004

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ellen Rodriguez Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10004 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

Physical Therapist
30 BROAD ST
NEW YORK, NY 10004
Physical Therapist
30 BROAD ST
NEW YORK, NY 10004
Physical Therapist
30 BROAD ST, 12TH FLOOR
NEW YORK, NY 10004
Chiropractor (Sports Physician)
30 BROAD ST
NEW YORK, NY 10004
Physical Therapist
30 BROAD ST, 12TH FLOOR
NEW YORK, NY 10004
Physical Therapist
30 BROAD ST
NEW YORK, NY 10004
Physical Therapist
30 BROAD ST, LEVEL A
NEW YORK, NY 10004
Nurse Practitioner
30 BROAD ST, 45TH FLOOR
NEW YORK, NY 10004

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 Ellen Rodriguez's NPI number?

The NPI number for Ellen Rodriguez is 1225892136. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Where is Ellen Rodriguez located?

Ellen Rodriguez practices at 30 Broad St, New York, NY 10004. The listed phone number is (888) 401-6582.

What is Ellen Rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ellen Rodriguez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ellen Rodriguez was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.