Active NPI
Elba Ivelisse Rivera, M.S. EDUCATION
- Specialist
- Stamford, CT
National Provider Identifier
1174886949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 626281
- Practice address
- 700 Summer St Apt 6B
Stamford, CT 06901-1007 - Phone
- (347) 599-8756
- NPI assigned
- Jun 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 626281 | NY | Primary |
Addresses
Primary practice location
700 Summer St Apt 6B
Stamford, CT 06901-1007
Mailing address
700 Summer St Apt 6B
Stamford, CT 06901-1007
Phone (347) 599-8756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 626281 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theracare | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- Bronx, NY
- NPI 1063775310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1174886949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SUMMER ST APT 6B",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069011007",
"telephone_number": "347-599-8756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SUMMER ST APT 6B",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069011007",
"telephone_number": "347-599-8756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "ELBA",
"middle_name": "IVELISSE",
"name_prefix": "Ms.",
"credential": "M.S. EDUCATION",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-18",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "626281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.