NPIMap

Organization Active NPI

Riverview Medical Associates PA

  • Internal Medicine Physician
  • Tinton Falls, NJ
National Provider Identifier
1194722694
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NON REQUIRED Issued in NJ
Legal business name
RIVERVIEW MEDICAL ASSOCIATES PA
Practice address
4 Hartford Dr Ste 1
Tinton Falls, NJ 07701-4945
Phone
(732) 741-3600
Fax
(732) 741-6079
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
David I Drout, MD
Title
President
Phone
(732) 741-3600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X NON REQUIRED NJ Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X NONE REQUIRED NJ
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X NONE REQUIRED NJ

Addresses

Primary practice location

4 Hartford Dr Ste 1
Tinton Falls, NJ 07701-4945

Mailing address

PO Box 249
Red Bank, NJ 07701-0249
Phone (732) 741-3600

Other identifiers 1

IdentifierTypeStateIssuer
6440908MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060210000054 NJ Part B Supplier - Clinic/Group Practice 0749295814 Receives reassigned benefits from 12 practitioners
Practice locations: Tinton Falls, NJ

National Provider Directory

National Provider Directory

Locations

71 Main St
Holmdel, NJ 07733
Phone (732) 741-3600

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1194722694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077010249",
            "telephone_number": "732-741-3600",
            "fax_number": "732-741-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HARTFORD DR STE 1",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014945",
            "telephone_number": "732-741-3600",
            "fax_number": "732-741-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "DROUT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-741-3600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "NON REQUIRED",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "NONE REQUIRED",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "NONE REQUIRED",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6440908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.