DR. ILDEFONSO ISMAEL RODRIGUEZ-RIVERA (NPI# 1861783185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861783185 |
| Entity Type | Individual |
| Full Name | DR. ILDEFONSO ISMAEL RODRIGUEZ-RIVERA |
| Credential | M.D. |
| Practice Address |
650 Commack Rd Commack NY 11725 |
| Mailing Address |
633 3rd Ave Rm 406 New York NY 10017-6706 |
| Practice Telephone | 6316234000 |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2018-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | BP10039991 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
279093 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1275 York Ave, New York, NY 100656007 | 6316234000 |
| Street Address |
650 COMMACK RD |
| City | COMMACK |
| State | NY |
| Zip Code | 11725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558341982 | Tiffany Troso-sandoval | Internal Medicine | 650 Commack Rd, Commack, NY 11725-5404 | 2006-01-20 |
| 1255976908 | Christine Hendriks | Pharmacist | 650 Commack Rd, Commack, NY 11725-5404 | 2019-11-16 |
| 1245702059 | Eileen Kilgus-reid | Nurse Practitioner | 650 Commack Rd, Commack, NY 11725 | 2018-12-19 |
| 1255819249 | Nicholas Paul Lattanzio | Nurse Practitioner | 650 Commack Rd, Commack, NY 11725-5404 | 2018-08-01 |
| 1750868295 | Melissa Koziatek | Nurse Practitioner | 650 Commack Rd, Commack, NY 11725-5404 | 2018-07-27 |
| 1841777307 | Sarah Jane Ray | Nurse Practitioner | 650 Commack Rd, Commack, NY 11725-5404 | 2018-07-26 |
| 1477039550 | Dana D'aconti | Nurse Practitioner | 650 Commack Rd, Commack, NY 11725-5404 | 2018-07-12 |
| 1215429659 | Serena Kuriakose | Pharmacist | 650 Commack Rd, Commack, NY 11725-5404 | 2018-06-01 |
| 1124555271 | Eileen Jackson | Nurse Practitioner | 650 Commack Rd, Commack, NY 11725-5404 | 2017-05-20 |
| 1922549369 | Frank A Surita | Pharmacist | 650 Commack Rd, Commack, NY 11725-5404 | 2017-03-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920793 | Kylee Maclachlan | Internal Medicine | 250 E 77th St Apt 5a, New York, NY 10075-2241 | 2020-07-29 |
| 1174998249 | Cancer and Blood Medical Services of Ny, PC | Internal Medicine | 2 Longview Ave # 4, White Plains, NY 10601-5000 | 2015-12-01 |
| 1114283785 | Marcia Noreen Paddock | Internal Medicine | 428 E. 72nd St, Suite 300, New York, NY 10021 | 2012-04-07 |
| 1801174909 | Fred Rosner | Internal Medicine | 750 Elvira Avenue, Far Rockaway, NY 11691-5405 | 2011-07-25 |
| 1891086740 | Lisa Dianne Cupit | Internal Medicine | 5 Deauville Ct, Northport, NY 11768-2105 | 2011-04-27 |
| 1184923898 | Daniel Edward Sammartino | Internal Medicine | 2 Longview Ave Fl 2, White Plains, NY 10601-5000 | 2011-03-21 |
| 1669609343 | Catherine Josephine Pelczar-wissner | Internal Medicine | 31 Wood Ave, Ardsley, NY 10502-1025 | 2009-06-19 |
| 1982856415 | Marshall Albert Lichtman | Internal Medicine | 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 | 2008-10-15 |
| 1174714927 | Barry Wenz | Internal Medicine | 752 Titicus Rd, North Salem, NY 10560-2201 | 2007-08-07 |
| 1013134964 | Hudson Valley Health Group | Internal Medicine | 3141 Us Route 9w, Suite 100, New Windsor, NY 12553-6709 | 2007-04-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.