NPIMap

Organization Active NPI

East River Medical, PLLC

  • Family Nurse Practitioner
  • Bluefield, WV
National Provider Identifier
1265530752
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36628 Issued in WV
Legal business name
EAST RIVER MEDICAL, PLLC
Practice address
512 Cherry St
Building I
Bluefield, WV 24701-3341
Phone
(304) 324-2715
Fax
(304) 324-2774
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mayank S Amin, MD
Title
Owner
Phone
(304) 324-2715

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 20921 WV
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 19428 WV
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X 20602 WV
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 36628 WV Primary

Addresses

Primary practice location

512 Cherry St
Building I
Bluefield, WV 24701-3341

Mailing address

PO Box 213
Bluefield, WV 24701-0213
Phone (304) 324-2715

Other identifiers 1

IdentifierTypeStateIssuer
3810001682MedicaidWV

National Provider Directory

National Provider Directory

Locations

512 Cherry St
Bluefield, WV 24701
Phone (304) 324-2715

512 Cherry St
#I
Bluefield, WV 24701
Phone (304) 324-2715

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1265530752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 213",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247010213",
            "telephone_number": "304-324-2715",
            "fax_number": "304-324-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 CHERRY ST",
            "address_2": "BUILDING I",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013341",
            "telephone_number": "304-324-2715",
            "fax_number": "304-324-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST RIVER MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "MAYANK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-324-2715",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "20921",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "19428",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WV",
            "license": "20602",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "36628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001682",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.