Active NPI
Eric Sean Rivera, LICENSED DISPENSER
- Hearing Instrument Specialist
- Huntingdon Valley, PA
National Provider Identifier
1285288985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- F30549
- Practice address
- 2555 Huntingdon Pike
Huntingdon Valley, PA 19006-6113 - Phone
- (215) 947-2606
- NPI assigned
- Jul 31, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | F30549 | PA | Primary |
Addresses
Primary practice location
2555 Huntingdon Pike
Huntingdon Valley, PA 19006-6113
Mailing address
2555 Huntingdon Pike
Huntingdon Valley, PA 19006-6113
Phone (215) 947-2606
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F03549 | Other | PA | PA DEPT OF HEALTH |
| F03549 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | goodwinhearing@aol.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| F30549 | PA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1285288985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 HUNTINGDON PIKE",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190066113",
"telephone_number": "215-947-2606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 HUNTINGDON PIKE",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190066113",
"telephone_number": "215-947-2606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "ERIC",
"middle_name": "SEAN",
"credential": "LICENSED DISPENSER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-31",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "PA",
"license": "F30549",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA DEPT OF HEALTH",
"identifier": "F03549",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "F03549",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "goodwinhearing@aol.com",
"affiliation": "N",
"endpointDescription": "hearing exams",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "hearing health",
"address_1": "2555 Huntingdon Pike",
"city": "Huntingdon Valley",
"state": "PA",
"country_code": "US",
"postal_code": "190066113",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Huntingdon Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.