Individual provider Active NPI

Riva Kaynan, M.D.

  • Family Medicine Physician
  • Totowa, NJ
National Provider Identifier
1245368554
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA07379000 Issued in NJ
Practice address
525 Union Blvd
Totowa, NJ 07512-2442
Phone
(862) 229-0559
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA07379000 NJ
Internal Medicine Physician 207R00000X 25MA07379000 NJ
Physical Medicine & Rehabilitation Physician 208100000X 25MA07379000 NY
Family Medicine Physician 207Q00000X 25MA07379000 NJ Primary

Addresses

Primary practice location

525 Union Blvd
Totowa, NJ 07512-2442

Mailing address

234 McLean Blvd
Paterson, NJ 07504-1021
Phone (973) 523-5252

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
I20130727000229 NJ Practitioner - Family PracticePractitioner - Preventive MedicinePractitioner - Internal MedicinePractitioner - Emergency Medicine 1951542349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Internal Medicine, Preventive Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Perioperative Medicine, P.a.Group PAC ID 1951206200, 8 clinicians

Practice addresses (Care Compare)

525 Union Blvd
Totowa, NJ 07512-2442
Phone (862) 229-0559

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07379000NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Perioperative Medicine, P.a. CurrentSince Mar 1, 2020 Accepting new patients
Physical Medicine of New Jersey LLC Physical Medicine & Rehabilitation PastSince Feb 1, 2013 Accepting new patients
Orthopedic & Hand Specialists, PC Past Accepting new patients

Locations

104 Lincoln Ave
Hawthorne, NJ 07506
Phone (973) 427-6800

525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559

Interoperability endpoints

  • Direct secure messaging: rkaynan@immed.gwaydirect.com

Organizations & group practices 4

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1245368554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MCLEAN BLVD",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041021",
            "telephone_number": "973-523-5252",
            "fax_number": "973-523-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122442",
            "telephone_number": "862-229-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYNAN",
        "first_name": "RIVA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA07379000",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07379000",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "25MA07379000",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07379000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

Verify at the official NPI Registry.