Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1063488682 Deactivated / Inactive NPI Male Practitioner

Dr. Ivan Rodriguez , MD

Internal Medicine • Brooklyn, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ivan Rodriguez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 24, 2006
NPI Deactivation Date July 17, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Ivan Rodriguez, MD was a registered Internal Medicine practicing in Brooklyn, NY. Throughout an active medical career spanning 14 years, Dr. Rodriguez provided care at the practice location at 2094 PITKIN AVE until profile deactivation on 2020-07-17.

Practice Location & Contact Primary Location

Practice Address

2094 Pitkin Ave

Brooklyn, NY 112073509

Telephone 7182400420
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Brooklyn, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.7 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
1601 Specialists

Practicing in Brooklyn, NY (12979 Statewide)

Telehealth Adoption Rate
18.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 199099

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Mohammed Khan

Internal Medicine

NPI 1710950662

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 17, 2020

Record deactivated on July 17, 2020

NPI Profile Active September 08, 2010

NPI status registered as active in NPPES database

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Updated Practice Location September 08, 2010

Registered at 2094 PITKIN AVE, BROOKLYN, NY 112073509 (Tel: 7182400420)

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Updated Business Mailing Address September 08, 2010

Registered at 24 CLOVE BRANCH RD, HOPEWELL JCT, NY 125335216 (Tel: 8452238387)

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Provider Name / Credentials Updated September 08, 2010

Recorded as IVAN RODRIGUEZ, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2010

Internal Medicine (License #199099 in NY)

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Initial NPI Registration & Enumeration February 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063488682
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2006
Last Update: September 08, 2010
Deactivation Date: July 17, 2020

Mailing Address

24 Clove Branch Rd

Hopewell Jct, NY 125335216

Phone: 8452238387

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.