Shantae Rodriguez, PA
NPI 1902055650ActiveIndividual· Physician Assistant· Stony Brook, NY
Physician Assistant (PA) with Urgent Care of New York PLLC, practicing in Stony Brook, New York. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1902055650 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Sep 17, 2008 |
| Last updated in NPPES | Mar 16, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 012566 | NY |
| Emergency Medicine | 207P00000X | 012566 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Urgent Care of New York PLLCCentereach, NY · 11 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 130 physician assistants in Stony Brook · All physician assistants in New York