Riverside Physician Services Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

RIVERSIDE PHYSICIAN SERVICES INC

Doing business as

Riverside Urology Specialists

Practice address

7552 Hospital Drive
Suite 302
Gloucester, VA 23061

Phone

(804) 693-9062

Fax

(804) 693-9875

NPI assigned

Jul 17, 2006

Last updated

Oct 15, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

RIVERSIDE HEALTHCARE ASSOCIASTESAs reported in NPPES

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

Authorized official

Name

James Lesnick, MD

Title

Vice President

Phone

(757) 594-4006

Specialties & licenses 1

Addresses

Other names 1

• Riverside Urology Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1306863881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-594-4006",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7552 HOSPITAL DRIVE",
            "address_2": "SUITE 302",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "23061",
            "telephone_number": "804-693-9062",
            "fax_number": "804-693-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE HEALTHCARE ASSOCIASTES",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "LESNICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "757-594-4006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Urology Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riverside Physician Services Inc (Riverside Neurology and Sleep Specialists)
• Riverside Physician Services Inc
• Riverside Physician Services Inc (Riverside Partners in Women's Health Gloucester)
• Riverside Physician Services Inc (Riverside Radiation Oncology Specialists)
• Riverside Physician Services Inc (Riverside Walter Reed Hospitalists)
• Riverside Physician Services Inc (Women's Healthcare)
• Riverside Physician Services Inc (Hampton Roads Eye Associates-Gloucester)
• Riverside Physician Services Inc
• Riverside Physician Services Inc (Riverside Renal Specialists)
• Riverside Physician Services Inc (Riverside Gloucester Palliative Care and Hospice Specialists)

• Urology Physician in Gloucester, VA
• Providers in Gloucester, VA by specialty
• Urology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.