Riverside Family Medicine, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RIVERSIDE FAMILY MEDICINE, PC

Practice address

6585 Broadway
Bronx, NY 10471-2050

Phone

(914) 227-1743

NPI assigned

Oct 2, 2023

Organization subpart

No

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

Authorized official

Name

Fadi Sayegh, MDNPI 1447647607

Title

Ceo/Owner

Phone

(914) 227-1743

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Fadi H Sayegh, MD

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1447647607
  Medicare reassignment NPD Authorized official
• Carol A Celona, FNP

  • General Practice Registered Nurse
  • Long Island City, NY
  • NPI 1619915386
  Medicare reassignment NPD
• Paula Sims, M.D.

  • General Practice Physician
  • Putnam Valley, NY
  • NPI 1740364975
  Medicare reassignment NPD

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1295515856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6585 BROADWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104712050",
            "telephone_number": "914-227-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "SAYEGH",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "914-227-1743",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesar Enrique Rivero, RN
• Yeisson Jhonas Rivero, M.D
• Henry Lee Rivers Sr., BA
• Lamont Rivers, 29381 CASAC-T
• Mary Rivers, MSW
• Riverside RX Inc
• Riverspring Licensed Home Care Services Agency Inc
• Riverview Chemists Inc
• Riverview Chemists Inc
• Boris N Rivkin

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.