Eribel Rodriguez
Dentist, Pediatric Dentistry in Brooklyn, NY. Individual provider (NPI-1).
NPI number1336724970
StatusActive
Last updated in NPPESSep 30, 2024
Details
- NPI
- 1336724970
- Entity type
- Individual (NPI-1)
- Name
- Eribel Rodriguez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 15, 2021
- Certification date
- Sep 30, 2024
- Last updated
- Sep 30, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 062715 | NY | Yes |
Practice location
2270 Kimball St Ste 202Brooklyn, NY 11234-5159
Phone 718-253-0888
Mailing address
2270 Kimball St Ste 202Brooklyn, NY 11234-5159
Phone 718-253-0888
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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