RIVERSIDE MEDICAL GROUP PC NPI 1558555888

NPI Information

NPI: 1558555888
Provider Name: RIVERSIDE MEDICAL GROUP PC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 31D2096446

Address:
725 RIVER RD
SUITE 106
EDGEWATER, NJ
ZIP 07020
Phone: (201) 943-2273
Get Directions

RIVERSIDE MEDICAL GROUP PC is a general practice in Edgewater, NJ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee RIVERSIDE MEDICAL GROUP PC NPI is 1558555888. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

725 RIVER RD
SUITE 106
EDGEWATER, NJ
ZIP 07020-171
Phone: (201) 943-2273

The provider's authorized official is Mario Miglietta .
The authorized official title is President and has the following contact phone number (201) 461-1843.

The CLIA number assigned to this NPI record is 31D2096446 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2007 and was last updated on 8/29/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		25MB06920900	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G95229	MEDICARE UPIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »