Individual provider Active NPI

Harvey Rainville, M.D.

  • Surgery Physician
  • Glen Ridge, NJ
National Provider Identifier
1083843783
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
811045887 Issued in NY
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

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 PCGroup PAC ID 1759635980, 19 clinicians

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 Hospital, Montclair, NJ, CCN 310054

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)17
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
811045887NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eoh Acquisition Group, LLC CurrentSince Jan 1, 2022 Accepting new patients
New York Bariatric Surgery Group PLLC CurrentSince Mar 21, 2025 Accepting new patients
Pathology Associates, PC Current Accepting new patients
Eoh Acquisition Group, LLC CurrentSince Jan 1, 2022 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

  • Direct secure messaging: hrainville191140@ahs.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.