MR. DERRICK LEMUEL RODRIGUEZ NP-C
NPI 1912591108
Nurse Practitioner - Adult Health in Hackensack, NJ

Q: What is Derrick Rodriguez's NPI number?

The NPI number for Derrick Rodriguez is 1912591108. It was assigned to this individual provider in the NPPES registry on February 27, 2021.

Q: What is Derrick Rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Derrick Rodriguez was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 27, 2021PECOS EnrolledAccepts Medicare Assignment

30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 455-4453 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 15, 2023, Feb 27, 2021 (2 updates tracked since 2021).

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About Mr. Derrick Lemuel Rodriguez Np-c NPPES

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

MR. DERRICK LEMUEL RODRIGUEZ NP-C (NPI 1912591108) is an individual adult health provider in Hackensack, New Jersey, licensed in New Jersey (26NJ01121100) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1912591108

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameMR. DERRICK LEMUEL RODRIGUEZCredential: NP-C

Location Address30 PROSPECT AVEHackensack, NJ 07601-1915

Mailing Address30 Prospect AveHackensack, NJ 07601-1915 · (551) 455-4453

Phone(551) 455-4453

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 27, 2021

Last NPPES UpdateFebruary 15, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2022

✔ NPI 1912591108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NJ · 26NJ01121100

Also ListedNurse PractitionerTaxonomy 363L00000X · License 26NJ01121100 (NJ)

30 PROSPECT AVE, Hackensack, NJ 07601

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Derrick Lemuel Rodriguez Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830588854

PECOS Enrollment IDI20211112002320

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 2

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.

35 services35 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

26 services26 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310001

Location30 Prospect AveHackensack, NJ 07601 · Bergen County

Emergency services Birthing friendly

Palisades Medical Center

Acute Care Hospitals · North Bergen, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310003

Location7600 River RdNorth Bergen, NJ 07047 · Hudson County

Emergency services Birthing friendly

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310039

Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County

Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310108

Location65 James StreetEdison, NJ 08820 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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 20

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

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)