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

Kevin Antonio Rodriguez

Individual provider Athletic Trainer · NPI 1366306029

Kevin Antonio Rodriguez is an Athletic Trainer in Roselle Park, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2025

Practice location Address checks out

185 W Webster Ave
Roselle Park, NJ 07204-1617
Phone: (908) 245-4550
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 25MT00146800 (NJ)

Record details

NPI number1366306029
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 16, 2025
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address185 W Webster Ave, Roselle Park, NJ 07204-1617