Michelle Rivkin, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

430919 Issued in NY

Practice address

454 Stevens Ave
Ridgewood, NJ 07450-5437

Phone

(347) 583-0707

NPI assigned

Jul 23, 2015

Last updated

Jul 23, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

New York University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment Care Compare group NPD (past)
• Pulmonary Critical Care & Sleep Medicine of Nassau P.C.

  • Pulmonary Disease Physician
  • Bellerose, NY
  • NPI 1083931612
  Medicare reassignment NPD
• North Shore - Lij Anesthesiology, PC

  • Anesthesiology Physician
  • Chappaqua, NY
  • NPI 1417401266
  NPD

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1114302700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 STEVENS AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074505437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 STEVENS AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074505437",
            "telephone_number": "347-583-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVKIN",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "430919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Riker, LCSW
• Leslie Winfield Ringelstein, NP
• Andrea Jane Riskin, PSY.D.
• Alyssa Rivera
• David Frank Rivera, FNP
• Robert C.Troast PA (Troast Vision & Hearing Center)
• Robert H. Cameron, O.D., P.a.
• Robert P Forte DDS PA
• Laura A. Robinson, LCSW
• Carl R Rockermann, D.M.D.

• Acute Care Nurse Practitioner in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Acute Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.

Verify at the official NPI Registry.