Healthcare Provider Details

I. General information

NPI: 1982960175
Provider Name (Legal Business Name): DANIEL ARMANDO RODRIGUEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2012
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 E ALLENDALE RD STE 7
SADDLE RIVER NJ
07458-3057
US

IV. Provider business mailing address

7102 DURHAM AVE
NORTH BERGEN NJ
07047-3928
US

V. Phone/Fax

Practice location:
  • Phone: 201-236-8282
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number25MA10308700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: