Individual provider Active NPI

Christine Yanire Rivera, D.C.

  • Chiropractor
  • Hackensack, NJ
National Provider Identifier
1306137807
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00714800 Issued in NJ
Practice address
326 Prospect Ave
Apt 3J
Hackensack, NJ 07601-2615
Phone
(860) 371-0409
NPI assigned
May 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3325 MA
Chiropractor 111N00000X 012324 NY
Chiropractor 111N00000X 38MC00714800 NJ Primary

Addresses

Primary practice location

326 Prospect Ave
Apt 3J
Hackensack, NJ 07601-2615

Mailing address

326 Prospect Ave
Apt 3J
Hackensack, NJ 07601-2615
Phone (860) 371-0409

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
012324NYMDMental Health Counselor
38MC00714800NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Chiropractic Care, P.C. CurrentSince Aug 4, 2011 Accepting new patients

Locations

475 School St
Ste 7
Marshfield, MA 02050
Phone (781) 659-7959

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1306137807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 PROSPECT AVE",
            "address_2": "APT 3J",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012615",
            "telephone_number": "860-371-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 PROSPECT AVE",
            "address_2": "APT 3J",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012615",
            "telephone_number": "860-371-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "CHRISTINE",
        "middle_name": "YANIRE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3325",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012324",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00714800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.