River Primary Care Center, Inc

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

26NN10322000 Issued in NJ

Legal business name

RIVER PRIMARY CARE CENTER, INC

Practice address

2809 River Rd
Camden, NJ 08105-4426

Phone

(856) 966-8088

Fax

(856) 966-8089

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

Patrick A Ervilus, NPC

Title

Family Nurse Practitioner

Phone

(856) 966-8088

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Broadway Family Practice PC

  • Specialist
  • Pleasantville, NJ
  • NPI 1780624031

  Member Of

  NPD member

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1285820761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 RIVER RD",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081054426",
            "telephone_number": "856-966-8088",
            "fax_number": "856-966-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 RIVER RD",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081054426",
            "telephone_number": "856-966-8088",
            "fax_number": "856-966-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER PRIMARY CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "ERVILUS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "856-966-8088",
        "authorized_official_credential": "NPC"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "NJ",
            "license": "26NN10322000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of New Jersey Inc
• Rite Aid of New Jersey Inc
• Rebecca Ritsick
• Paulette Ritter, NURSE PRACTITIONER
• Jill M Rivard, C.R.N.A., M.S.
• Jessica Yolinda Rivera, LMT
• Marisol Rivera
• Tashira Rivera
• Velmina S Rivera, MD
• Rivercare Solutions LLC

• General Practice Registered Nurse in Camden, NJ
• Providers in Camden, NJ by specialty
• General Practice Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.