DR. RAFAEL ANTONIO RODRIGUEZ M.D. NPI 1053536250

NPI Information

  • NPI: 1053536250
  • Provider Name: DR. RAFAEL ANTONIO RODRIGUEZ, M.D.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3711 88TH ST
    JACKSON HEIGHTS, NY
    ZIP 11372
  • Phone: (347) 605-2785

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NPI Details

DR. Rafael Antonio Rodriguez, M.D. is an internal medicine in Jackson Heights, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Rafael Antonio Rodriguez, M.D. NPI is 1053536250. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3711 88TH ST
JACKSON HEIGHTS, NY
ZIP 11372-630
Phone: (347) 605-2785
Fax: (347) 572-8781

The NPI 1053536250 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 12/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiology179642NEW YORKNo
2207LP2900XAnesthesiologyPain Medicine179642NEW YORKNo
3207R00000XInternal Medicine179642NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F61883MEDICARE UPIN
202016MEDICARE ID-TYPE UNSPECIFIEDNEW YORKPIN GHI MEDICARE
301618015MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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