Riverside Orthopaedic & Sports Medicine Associates, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

RIVERSIDE ORTHOPAEDIC & SPORTS MEDICINE ASSOCIATES, P.C.

Practice address

1790 Broadway
10TH Floor
New York, NY 10019-1412

Phone

(212) 265-2828

Fax

(212) 265-3130

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey V Dermksian, MD

Title

Treasurer

Phone

(212) 265-2828

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Raymond Wedderburn, MD

  • Surgery Physician
  • New York, NY
  • NPI 1750370524
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1144308099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 BROADWAY",
            "address_2": "10TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191412",
            "telephone_number": "212-265-2828",
            "fax_number": "212-265-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 BROADWAY",
            "address_2": "10TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191412",
            "telephone_number": "212-265-2828",
            "fax_number": "212-265-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE ORTHOPAEDIC & SPORTS MEDICINE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "DERMKSIAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "212-265-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathelene Rivers
• Tiquez Rivers, MD
• Riverside Health Consulting Inc
• Riverside Medical Diagnostics, PLLC
• Riverside Medication Management LLC
• Riverside Pharmacy,Inc.
• Riverside Physical Therapy,Nyc,PLLC
• Riverside Podiatry PLLC
• Riverside Radio Dispatch Inc
• Riverside RX Pharmacy, Inc.

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.