Individual provider Active NPI

Loyda I Rivera, MD, FAAP, FACC

  • Pediatric Cardiology Physician
  • Wall Township, NJ
National Provider Identifier
1235167123
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
25MA054350 Issued in NJ
Practice address
3204 Allaire Rd
Wall Township, NJ 07719-9165
Phone
(732) 282-1060
Fax
(732) 282-1061
NPI assigned
Jun 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 25MA054350 NJ Primary

Addresses

Primary practice location

3204 Allaire Rd
Wall Township, NJ 07719-9165

Mailing address

3204 Allaire Rd
Wall Township, NJ 07719-9165
Phone (732) 282-1060

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA054350NJMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monmouth Ocean Children's Heart Center, PA Pediatric Cardiology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lrivera425416@direct.ahsys.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235167123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 ALLAIRE RD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199165",
            "telephone_number": "732-282-1060",
            "fax_number": "732-282-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 ALLAIRE RD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199165",
            "telephone_number": "732-282-1060",
            "fax_number": "732-282-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LOYDA",
        "middle_name": "I",
        "credential": "MD, FAAP, FACC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NJ",
            "license": "25MA054350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.