Active NPI
Harvey Rainville, M.D.
- Surgery Physician
- Glen Ridge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 811045887
- Practice address
- 230 Sherman Ave
Glen Ridge, NJ 07028-1529 - Phone
- (973) 744-8585
- NPI assigned
- Jul 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 811045887 | NY | Primary |
Addresses
Primary practice location
230 Sherman Ave
Glen Ridge, NJ 07028-1529
Mailing address
230 Sherman Ave
Glen Ridge, NJ 07028-1529
Phone (973) 744-8585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140212000032 | NJ | Practitioner - General Surgery | 4082843206 | Reassigns benefits to 4 organizations |
| I20250610000219 | NY | Practitioner - General Surgery | 4082843206 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Premier Bariatric New Jersey PC
Practice addresses (Care Compare)
1 W Ridgewood Ave
Suite G02
Paramus, NJ 07652-2359
Phone (516) 616-5500
1121 Route 22
Suite 203
Bridgewater, NJ 08807-2983
Phone (516) 616-5500
230 Sherman Ave
FL 2
Glen Ridge, NJ 07028-1529
Phone (516) 616-5500
Hospital & facility affiliations
- Hackensack Meridian Mountainside Medical
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 17 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 811045887 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eoh Acquisition Group, LLC | Current | Accepting new patients | |
| New York Bariatric Surgery Group PLLC | Current | Accepting new patients | |
| Pathology Associates, PC | Current | Accepting new patients | |
| Eoh Acquisition Group, LLC | Current | Accepting new patients | |
| Long Island Minimally Invasive Surgery, P.C. | Past | Accepting new patients | |
| Barnabas Health Medical Group PC | Surgery | Past | Accepting new patients |
Locations (25 of 28)
1121 Route 22
Ste 203
Bridgewater, NJ 08807
Phone (908) 237-7412
28 Gibson Blvd
Clark, NJ 07066
300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460
240 Central Ave
East Orange, NJ 07018
Phone (973) 414-3473
98 James St
Ste 103
Edison, NJ 08820
Phone (732) 662-5888
98 James St
Ste 212
Edison, NJ 08820
Phone (732) 548-1800
83 Hanover Rd
Ste 190
Florham Park, NJ 07932
Phone (973) 410-9700
230 Sherman Ave
Glen Ridge, NJ 07028
Phone (973) 743-9555
230 Sherman Ave
Fl 2
Glen Ridge, NJ 07028
Phone (973) 750-0104
1 W Ridgewood Ave
Ste G2
Paramus, NJ 07652
Phone (201) 652-1213
120 Cedar Grove Ln
Ste T14
Somerset, NJ 08873
355 US Highway 22 E
Springfield, NJ 07081
Phone (908) 325-3000
1680 State Route 23
Ste 180
Wayne, NJ 07470
Phone (484) 934-1070
3795 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (800) 633-8446
340 Broadhollow Rd
Ste 2
Farmingdale, NY 11735
400 Westage Business Ctr Dr
Ste 209
Fishkill, NY 12524
Phone (845) 231-5392
1200 W Broadway
Ste 9
Hewlett, NY 11557
Phone (800) 633-8446
120 E Main St
Huntington, NY 11743
Phone (631) 300-2484
1345 Motor Pkwy
Fl 1
Islandia, NY 11749
Phone (631) 855-1200
496 County Road 111
Bldg D1
Manorville, NY 11949
Phone (631) 909-8712
496 County Road 111
Bldg D
Manorville, NY 11949
Phone (631) 405-3200
646 Park Ave
New York, NY 10065
Phone (212) 249-0404
55 Medford Ave
Unit D
Patchogue, NY 11772
Phone (631) 475-3020
715 Roanoke Ave
Ste 1
Riverhead, NY 11901
Phone (631) 963-4750
125 Mineola Ave
Ste 200
Roslyn Hts, NY 11577
Phone 5166165500800
Interoperability endpoints
- hrainville191140@ahs.direct-ci.com
- nybg.harveyrainville@136202.advancedmd-direct.com
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- East Orange, NJ
- NPI 1013386143
-
- Anatomic Pathology & Clinical Pathology Physician
- East Orange, NJ
- NPI 1366460271
-
- Specialist
- Roslyn Heights, NY
- NPI 1356545867
Hospital & facility affiliations 1
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": "1246492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1083843783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 SHERMAN AVE",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "070281529",
"telephone_number": "973-744-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 SHERMAN AVE",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "070281529",
"telephone_number": "973-744-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINVILLE",
"first_name": "HARVEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-02",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "811045887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.