Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackelyn Rodriguez

Individual provider Specialist · NPI 1336401173

Jackelyn Rodriguez is a Specialist in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

124 E 176th St APT.4B
Bronx, NY 10453-6205
Phone: (646) 239-1200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)

Record details

NPI number1336401173
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 7, 2012
Last updated in NPPESJune 7, 2012
Mailing address124 E 176th St, Apt.4b, Bronx, NY 10453-6205

Other providers in Bronx