JACKELINE VICTORIA RODRIGUEZ NP - NPI 1265124515 - Nurse Practitioner in Totowa, NJ

Q: What is Jackeline Rodriguez's NPI number?

The NPI number for Jackeline Rodriguez is 1265124515. It was assigned to this individual provider in the NPPES registry on May 24, 2023.

Q: What is Jackeline Rodriguez's specialty?

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

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About Jackeline Victoria Rodriguez Np NPPES

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

JACKELINE VICTORIA RODRIGUEZ NP (NPI 1265124515) is an individual family provider in Totowa, New Jersey, licensed in New Jersey (26NJ14860800) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Paterson, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265124515

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACKELINE VICTORIA RODRIGUEZCredential: NP

Location Address525 UNION BLVDTotowa, NJ 07512-2442

Mailing Address221 Wayne AvePaterson, NJ 07502-1912 · (551) 208-9202

Phone(862) 229-0559

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMay 24, 2023

Last NPPES UpdateJune 21, 20232 updates tracked since enumeration

NPPES CertifiedJune 21, 2023

✔ NPI 1265124515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NJ · 26NJ14860800

525 UNION BLVD, Totowa, NJ 07512

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Secondary Practice Location 1

Location 1221 Wayne AvePaterson, NJ 07502-1912 · Phone (551) 208-9202

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2860976297

PECOS Enrollment IDI20260324001255

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 07512 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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 12

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

VADIM GALKIN M.D.

Anesthesiology