Rivaaron, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

558110 Issued in NJ

Legal business name

RIVAARON, LLC

Practice address

139 Grant Ave
Eatontown, NJ 07724-1306

Phone

(732) 578-1888

Fax

(732) 578-1979

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ray Simonian, CSW

Title

Director of Social Service

Phone

(732) 578-1888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• YOUNG AT HEART OF EATONTOWN Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1205978384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 GRANT AVE",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241306",
            "telephone_number": "732-578-1888",
            "fax_number": "732-578-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 GRANT AVE",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241306",
            "telephone_number": "732-578-1888",
            "fax_number": "732-578-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVAARON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "SIMONIAN",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "DIRECTOR OF SOCIAL SERVICE",
        "authorized_official_telephone_number": "732-578-1888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSW"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "558110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031658",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YOUNG AT HEART OF EATONTOWN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Resources for Human Development, Inc.
• Barbara A Rexer
• Ryan Ribeiro
• Paul Leonard Rifkin, M.D.
• Alexandra Ritorto
• Jessenia Rivera
• Thomas F Rizzo, M.D.
• Erin Julia Roach, AGNP-C
• Donna Lee Roake
• Robert B Breeden OD Ronald J Minsky OD PA

• Adult Day Care Clinic/Center in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.