Individual provider Active NPI

Velmina S Rivera, MD

  • Pediatric Adolescent Medicine Physician
  • Camden, NJ
National Provider Identifier
1235120213
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
25MA06603200 Issued in NJ
Practice address
130 N Broadway
10TH Floor
Camden, NJ 08102-1122
Phone
(856) 614-5610
Fax
(856) 614-3236
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 25MA06603200 NJ Primary

Addresses

Primary practice location

130 N Broadway
10TH Floor
Camden, NJ 08102-1122

Mailing address

130 N Broadway FL 10
Camden, NJ 08102-1122
Phone (856) 614-5610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421000167 NJ Practitioner - PathologyPractitioner - Pediatric Medicine 5991791592 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Health Care Associates of New Jersey PC CurrentSince Jul 1, 2017 Accepting new patients
Advocare , LLC CurrentSince Apr 13, 2014 Accepting new patients
Cooper Pediatrics CurrentSince Jul 22, 2014 Accepting new patients
Advocare, LLC CurrentSince Apr 13, 2014 Accepting new patients
Childrens Health Care Associates of New Jersey PC Current Accepting new patients
Childens Health Care Associates of New Jersey PC CurrentSince Jul 1, 2017 Accepting new patients
Leap Health and Wellness Center Past Accepting new patients
Virtua Medical Group, PA Past Accepting new patients
Virtua Surgical Group, P.a Past Accepting new patients
Cooper Pediatric Specialists, PC Past Accepting new patients

Locations

3 Cooper Plz
Rm 520
Camden, NJ 08103
Phone (856) 342-2298

1000 Atlantic Ave
Camden, NJ 08104
Phone (856) 246-3060

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

707 Alexander Rd
Princeton, NJ 08540
Phone (609) 520-1717

101 Carnie Blvd
Voorhees, NJ 08043
Phone (856) 325-3000

200 Bowman Dr
Voorhees, NJ 08043
Phone (267) 425-5400

100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232

Interoperability endpoints

  • Direct secure messaging: velmina.rivera.leaphealthandwellnesscenter@134780.advancedmd-direct.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1235120213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N BROADWAY FL 10",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021122",
            "telephone_number": "856-614-5610",
            "fax_number": "856-614-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N BROADWAY",
            "address_2": "10TH FLOOR",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021122",
            "telephone_number": "856-614-5610",
            "fax_number": "856-614-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "VELMINA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA06603200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.