Active NPI
Riverview Healthcare Associates
- Family Medicine Physician
- Union City, NJ
National Provider Identifier
1306010335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7489609 | Medicaid | NJ | |
| 6689507 | Medicaid | NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0956871 | Riverview Healthcare Associates | Certificate of waiver | Feb 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Union City, NJ
- NPI 1811003619
-
- Family Medicine Physician
- Hoboken, NJ
- NPI 1336227297
-
- Pediatrics Physician
- Union City, NJ
- NPI 1518073337
-
- Family Medicine Physician
- West New York, NJ
- NPI 1124077219
-
- Internal Medicine Physician
- Union City, NJ
- NPI 1477618767
-
- Family Medicine Physician
- Hoboken, NJ
- NPI 1821017617
-
- Family Medicine Physician
- Jacksonville, NC
- NPI 1982794012
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.