| Dr. Ricardo E. Rodriguez, M.d, P.a. | |
|
318 E Westfield Ave Roselle Park NJ 07204-2318 | |
| (908) 245-2229 | |
| (908) 245-2384 |
| Full Name | Dr. Ricardo E. Rodriguez, M.d, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 318 E Westfield Ave, Roselle Park, New Jersey |
| Authorized Official Name and Position | Ricardo E Rodriguez (OWNER) |
| Authorized Official Contact | 9082452229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Ricardo E. Rodriguez, M.d, P.a. 318 E Westfield Ave Roselle Park NJ 07204-2318 Ph: (908) 245-2229 | Dr. Ricardo E. Rodriguez, M.d, P.a. 318 E Westfield Ave Roselle Park NJ 07204-2318 Ph: (908) 245-2229 |
| NPI Number | 1477728582 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 07/03/2008 |
| Medicare PECOS PAC ID | 5294870671 |
|---|---|
| Medicare Enrollment ID | O20100310000336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477728582 | NPI | - | NPPES |
| 1707400 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MA52970 (New Jersey) | Primary |
| Provider Name | Michelle Mingqi Ye |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265504062 PECOS PAC ID: 9234127713 Enrollment ID: I20040504000349 |
| Provider Name | Ricardo E Rodriguez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467471821 PECOS PAC ID: 0749244960 Enrollment ID: I20041117000779 |
| Provider Name | Michael A Gistrak |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396793972 PECOS PAC ID: 3870665318 Enrollment ID: I20080628000069 |
| Provider Name | Scott Merlin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124244009 PECOS PAC ID: 2163560897 Enrollment ID: I20091117000348 |
| Provider Name | Jeremiah S Kurz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124040316 PECOS PAC ID: 9830194380 Enrollment ID: I20100312000582 |
| Provider Name | Jeffrey A Shrensel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366785115 PECOS PAC ID: 1254692924 Enrollment ID: I20190619000831 |
| Provider Name | Neal M Carlin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245626670 PECOS PAC ID: 6608128244 Enrollment ID: I20210805002828 |
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