Individual provider Active NPI

Steven Rivera, ANP

  • Adult Health Nurse Practitioner
  • Tuckahoe, NY
National Provider Identifier
1053505032
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
304499 Issued in NY
Practice address
408 Read Ave
Tuckahoe, NY 10707-1656
Phone
(914) 980-6055
NPI assigned
Aug 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 304499 NY Primary

Addresses

Primary practice location

408 Read Ave
Tuckahoe, NY 10707-1656

Mailing address

408 Read Ave
Tuckahoe, NY 10707-1656
Phone (914) 980-6055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120710000051 NY Practitioner - Nurse Practitioner 0446415889 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Columbia University College of Physicians and Surgeons, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arcadian Medical Health PCGroup PAC ID 6800388372, 33 clinicians
Genesis Medical Health PCGroup PAC ID 9032308267, 44 clinicians

Practice addresses (Care Compare)

707 Throggs Neck Expy
Bronx, NY 10465-2319
Phone (845) 354-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Connect Medical P.C. CurrentSince Sep 1, 2023 Accepting new patients
Parcare Community Health Network Inc CurrentSince Aug 1, 2020 Accepting new patients
Park Avenue Pediatrics, P.C. CurrentSince Aug 1, 2020 Accepting new patients
Parcare Community Health Network Inc CurrentSince Aug 1, 2020 Accepting new patients
Genesis Medical Health PC CurrentSince Jul 1, 2021 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

2316 Bruner Ave
Bronx, NY 10469
Phone (718) 882-6400

3400 Cannon Pl
Bronx, NY 10463
Phone (718) 694-9000

707 Throggs Neck Expy
Bronx, NY 10465
Phone (718) 430-0003

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

7 Skyline Dr
Ste 250
Hawthorne, NY 10532

33 Downtown Dr
Fl 3
Monsey, NY 10952
Phone (201) 357-1520

15 Monsey Blvd
Monsey, NY 10952
Phone (845) 356-3400

476 Christian Herald Rd
Vly Cottage, NY 10989
Phone (845) 268-6861

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1053505032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 READ AVE",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107071656",
            "telephone_number": "914-980-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 READ AVE",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107071656",
            "telephone_number": "914-980-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-31",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuckahoe, NY

Sources for this page

Verify at the official NPI Registry.