Individual provider Active NPI

Seetha Maneyapanda Rivera, M.D.

  • Pediatrics Physician
  • Harrison, NJ
National Provider Identifier
1275819732
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA09048800 Issued in NJ
Practice address
215 Harrison Ave
Harrison, NJ 07029-1328
Phone
(862) 955-3183
Fax
(862) 955-1389
NPI assigned
Oct 28, 2011
Last updated
Jan 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA09048800 NJ Primary

Addresses

Primary practice location

215 Harrison Ave
Harrison, NJ 07029-1328

Mailing address

215 Harrison Ave
Harrison, NJ 07029-1328
Phone (862) 955-3183

Other identifiers 1

IdentifierTypeStateIssuer
0362921MedicaidNJ

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09048800NJMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: srivera@824.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1275819732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HARRISON AVE",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070291328",
            "telephone_number": "862-955-3183",
            "fax_number": "862-955-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HARRISON AVE",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070291328",
            "telephone_number": "862-955-3183",
            "fax_number": "862-955-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "SEETHA",
        "middle_name": "MANEYAPANDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-28",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09048800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0362921",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.