Active NPI
Manuel Rivera Jr.
- Specialist
- Chicopee, MA
National Provider Identifier
1275489163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 826355
- Practice address
- 863 Montgomery St
Chicopee, MA 01013-3823 - Phone
- (413) 315-7225
- NPI assigned
- Mar 5, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 826355 | MA | Primary |
Addresses
Primary practice location
863 Montgomery St
Chicopee, MA 01013-3823
Mailing address
34D Phins Hill MNR
Granby, MA 01033-5402
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 |
|---|---|---|---|
| 826355 | MA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1275489163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34D PHINS HILL MNR",
"city": "GRANBY",
"state": "MA",
"postal_code": "010335402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "863 MONTGOMERY ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010133823",
"telephone_number": "413-315-7225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MANUEL",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-03-05",
"last_updated": "2026-03-05",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "826355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicopee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.