Organization Active NPI

Manuel a. Rivas MD PA

  • Urology Physician
  • Hamilton, NJ
National Provider Identifier
1205090099
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA02827200 Issued in NJ
Legal business name
MANUEL A. RIVAS MD PA
Practice address
2081 Klockner Rd
Hamilton, NJ 08690-3415
Phone
(609) 588-5656
Fax
(609) 588-9563
NPI assigned
Jul 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Sharon Toleno
Title
Office Manager
Phone
(609) 588-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 25MA02827200 NJ Primary

Addresses

Primary practice location

2081 Klockner Rd
Hamilton, NJ 08690-3415

Mailing address

2081 Klockner Rd
Hamilton, NJ 08690-3415
Phone (609) 588-5656

Other identifiers 1

IdentifierTypeStateIssuer
21910101MedicaidNJ

National Provider Directory

National Provider Directory

Locations

2081 Klockner Rd
Hamilton, NJ 08690
Phone (609) 588-5656

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1205090099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903415",
            "telephone_number": "609-588-5656",
            "fax_number": "609-588-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903415",
            "telephone_number": "609-588-5656",
            "fax_number": "609-588-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL A. RIVAS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "TOLENO",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "609-588-5656"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA02827200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21910101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.