Riverside Nephrology PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

RIVERSIDE NEPHROLOGY PC

Practice address

575 Turnpike St Ste 17
North Andover, MA 01845-5937

Phone

(978) 686-4343

Fax

(978) 682-5191

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Eduardo S Haddad, MDNPI 1124113022

Title

President

Phone

(978) 686-4343

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Riverside Nephrology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Riverside Nephrology

  • Internal Medicine Physician
  • Lawrence, MA
  • NPI 1417237306
  NPD tax ID

Locations

Practitioners 3

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

• Eduardo S Haddad, MD

  • Nephrology Physician
  • North Andover, MA
  • NPI 1124113022
  Medicare reassignment Care Compare group NPD Authorized official
• Rania Salam, MD

  • Nephrology Physician
  • North Andover, MA
  • NPI 1053932780
  Medicare reassignment Care Compare group NPD
• Raouf Sayegh, MD

  • Internal Medicine Physician
  • Haverhill, MA
  • NPI 1568557460

  Nephrology

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1275628174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 UNITED DRIVE",
            "address_2": "SUITE 102",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791027",
            "telephone_number": "508-238-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 TURNPIKE ST STE 17",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455937",
            "telephone_number": "978-686-4343",
            "fax_number": "978-682-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE NEPHROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-686-4343",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "805418",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "M16918",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9783512",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patti A Richard, O.D.
• Robert Richard, OT
• Jennilee Leblanc Rideout
• Steven James Rinaldi, DMD
• Louis Rissin, DMD
• Krystle L Robleski, L., A.T.C.
• Margaret Kjelgaard Rockcastle, PH.D.
• Renata Roddy, FNP-BC
• Vanessa Elaine Roderick, OTR
• Emiliano Rodriguez, PTA

• Nephrology Physician in North Andover, MA
• Providers in North Andover, MA by specialty
• Nephrology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.