Riverside Medical Center, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

207RC0200X Issued in FL

Legal business name

RIVERSIDE MEDICAL CENTER, PA

Doing business as

Riverside Medical Center

Practice address

863 N Cocoa Blvd
Cocoa, FL 32922-7510

Phone

(321) 264-2345

Fax

(321) 735-8882

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Janet E Miley, MDNPI 1518189299

Title

Medical Director

Phone

(321) 264-2345

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Riverside Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janet Elaine Miley, M.D.

  • Specialist
  • Cocoa, FL
  • NPI 1518189299
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1093884439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 S HOPKINS AVE",
            "address_2": "SUITE 87",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805667",
            "telephone_number": "321-264-2345",
            "fax_number": "321-735-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 N COCOA BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227510",
            "telephone_number": "321-264-2345",
            "fax_number": "321-735-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE MEDICAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "MILEY",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "321-264-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "207RC0200X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INSURANCE",
            "identifier": "03280",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INSURANCE",
            "identifier": "7883229001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE",
            "identifier": "7276274",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverside Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin Renee Rich, LCSW, LICSW
• Jonathan Richter
• Giselle G Rios, APRN
• Ruben Jose Rivera Rivera, M.D.
• Maritza Rivera-Morales
• Angela S Roberts, PA-C
• Detrish Speed Roberts
• Amy Robinson
• Rocio Garcia-Acevedo
• Karen L Rodriguez, MA CCC-SLP

• Specialist in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.