NPIMap

Individual provider Active NPI

Tara Rivera, D.O.

  • Family Medicine Physician
  • Princeton, NJ
National Provider Identifier
1083669618
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB07195500 Issued in NJ
Practice address
3626 Route 1 N
Princeton, NJ 08540-5922
Phone
(609) 243-0445
Fax
(609) 452-7577
NPI assigned
May 23, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB07195500 NJ Primary

Addresses

Primary practice location

3626 Route 1 N
Princeton, NJ 08540-5922

Mailing address

401 Ridge Rd
Suite 6
Dayton, NJ 08810-3300
Phone (732) 329-4800

Other identifiers 1

IdentifierTypeStateIssuer
8291201MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050112000027 NJ Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 5496703803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5 Plainsboro Rd
Plainsboro, NJ 08536-1915
Phone (609) 853-7272

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Family Medicine Current Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Oct 1, 2010 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Oct 1, 2010 Accepting new patients
Dept. of Med, C/O Carl O'Brien Dba Princeton Hosp. Medical Assocs. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Centrastate Medical Associates PC Family Medicine PastSince Sep 26, 2016 Accepting new patients
Kenneth Faistl, MD,PA Family Medicine PastSince Mar 13, 2009 Accepting new patients

Locations

401 Ridge Rd
Dayton, NJ 08810
Phone (732) 230-3076

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

2 Centre Dr
#200
Monroe Twp, NJ 08831
Phone (609) 395-2470

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

Organizations & group practices 8

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083669618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RIDGE RD",
            "address_2": "SUITE 6",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088103300",
            "telephone_number": "732-329-4800",
            "fax_number": "732-329-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 ROUTE 1 N",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405922",
            "telephone_number": "609-243-0445",
            "fax_number": "609-452-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "TARA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07195500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8291201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.