Donald James Riviello, D.M,D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01136500 Issued in NJ

Practice address

35 Kings Hwy E
Suite 109
Haddonfield, NJ 08033-2009

Phone

(856) 429-1930

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265593081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 KINGS HWY E",
            "address_2": "SUITE 109",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332009",
            "telephone_number": "856-429-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 KINGS HWY E",
            "address_2": "SUITE 109",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332009",
            "telephone_number": "856-429-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVIELLO",
        "first_name": "DONALD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.M,D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01136500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard W Romash
• Jamie Ricker, ATC
• Leonard V Ridilla, MD
• Jacqueline Riedel, DO
• Rite Aid of New Jersey Inc
• Robert B Hill M.D. Facs Inc
• Kenneth John Rogers, PHD, ATC
• Romash & Crowell Physical Therapy LLC
• Richard W. Romash, PT
• Wanda Ronner, MD

• General Practice Dentistry in Haddonfield, NJ
• Providers in Haddonfield, NJ by specialty
• General Practice Dentistry in New Jersey

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.