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RIVERSIDE PHYSICIAN SERVICES INC NPI 1063438943


NPI Information

NPI: 1063438943
Provider Name: RIVERSIDE PHYSICIAN SERVICES INC

Doing Business As: RIVERSIDE LIFELONG HEALTH & AGING SERVICES

Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
1000 OLD DENBIGH BLVD
1020A
NEWPORT NEWS, VA
ZIP 23602
Phone: (757) 875-2050
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RIVERSIDE PHYSICIAN SERVICES INC is a geriatric medicine family medicine in Newport News, VA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. RIVERSIDE PHYSICIAN SERVICES INC NPI is 1063438943. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Riverside Lifelong Health & Aging Services.

The provider's business location address is:

1000 OLD DENBIGH BLVD
1020A
NEWPORT NEWS, VA
ZIP 23602-017
Phone: (757) 875-2050
Fax: (757) 875-2070

The provider's authorized official is James Lesnick .
The authorized official title is Vice President and has the following contact phone number (757) 594-4006.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 10/14/2014.


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
1207R00000XInternal MedicineNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3208100000XPhysical Medicine & RehabilitationNo
4207QG0300XFamily MedicineGeriatric MedicineVIRGINIAYes

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
1C03953MEDICARE PINVIRGINIA

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

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