Organization Active NPI

Riverview Healthcare Associates

  • Family Medicine Physician
  • Union City, NJ
National Provider Identifier
1306010335
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RIVERVIEW HEALTHCARE ASSOCIATES
Practice address
2401 Palisade Ave
Union City, NJ 07087-4528
Phone
(201) 867-5791
Fax
(201) 223-1905
NPI assigned
Apr 22, 2008
Reactivated
May 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Dr. Jerry L Jurado, M.D
Title
Family Practice
Phone
(201) 867-5791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2401 Palisade Ave
Union City, NJ 07087-4528

Mailing address

2401 Palisade Ave
Union City, NJ 07087-4528
Phone (201) 867-5791

Other identifiers 2

IdentifierTypeStateIssuer
7489609MedicaidNJ
6689507MedicaidNJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0956871Riverview Healthcare Associates2401 Palisade Ave, Union City, NJ 07087Certificate of waiverFeb 7, 2027

National Provider Directory

National Provider Directory

Locations

768 Westside Ave
Jersey City, NJ 07306
Phone (201) 435-2668

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1306010335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PALISADE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874528",
            "telephone_number": "201-867-5791",
            "fax_number": "201-223-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PALISADE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874528",
            "telephone_number": "201-867-5791",
            "fax_number": "201-223-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW HEALTHCARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "deactivation_date": "2020-01-28",
        "reactivation_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "JURADO",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FAMILY PRACTICE",
        "authorized_official_telephone_number": "201-867-5791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7489609",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6689507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.