Nicolas R Rivera

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

882305 Issued in NY

Practice address

588 State Route 302
Pine Bush, NY 12566-6761

Phone

(352) 504-8464

NPI assigned

Mar 2, 2026

Last updated

Mar 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1093660557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 STATE ROUTE 302",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125666761",
            "telephone_number": "352-504-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 STATE ROUTE 302",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125666761",
            "telephone_number": "352-504-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "NICOLAS",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "882305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl L. Porter, LPN
• Private Healthcare Facilities
• Marybeth B. Reinfried, R.N.
• Shaina Brianne Riquelme, RN
• Rite Aid of New York Inc (Rite Aid Pharmacy 03518)
• Garbrielle Areyanna Robinson
• Michelle Rogowski, OTR
• Jacqueline Rose, L.AC
• Jon Mitchel Rose, LCSW
• Krista Rowe

• Critical Care Medicine Registered Nurse in Pine Bush, NY
• Providers in Pine Bush, NY by specialty
• Critical Care Medicine Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.