Active NPI
Nicole Claire Rivera, DC
- Chiropractor
- Jersey City, NJ
National Provider Identifier
1235436718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00696800
- Practice address
- 344 Grove St
PMB 62479
Jersey City, NJ 07302 - Phone
- (732) 810-1084
- Fax
- (888) 742-1260
- NPI assigned
- Feb 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 38MC00696800 | NJ | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 38MC00696800 | NJ | |
| Chiropractor | 111N00000X | 38MC00696800 | NJ | Primary |
Addresses
Primary practice location
344 Grove St
PMB 62479
Jersey City, NJ 07302
Mailing address
344 Grove St
PMB 62479
Jersey City, NJ 07302
Phone (732) 810-1084
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00696800 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative You | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1235436718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 GROVE ST",
"address_2": "PMB 62479",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07302",
"telephone_number": "732-810-1084",
"fax_number": "888-742-1260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 GROVE ST",
"address_2": "PMB 62479",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07302",
"telephone_number": "732-810-1084",
"fax_number": "888-742-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "NICOLE",
"middle_name": "CLAIRE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-18",
"last_updated": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "NJ",
"license": "38MC00696800",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "NJ",
"license": "38MC00696800",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00696800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.