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

Shantae Rodriguez, PA

Individual provider Emergency Medicine Physician · NPI 1902055650

Shantae Rodriguez, PA is a Physician Assistant in Stony Brook, New York. Qualified in 2008, 18 years ago. Practices with Urgent Care of New York PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Partly verified

Some contact details are missing from the federal record.

Stony Brook Medicine Em 100 Nicolls Road Hsc Level 4 Rm 080
Stony Brook, NY 11794-8350
Phone: (631) 444-2478
Fax: (631) 444-3919
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 012566 (NY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 012566 (NY)

Record details

NPI number1902055650
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 17, 2008
Last updated in NPPESMarch 16, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Urgent Care Of New York Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stony Brook