Benny Riviello Jr., DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MB01786200 Issued in NJ

Practice address

601 Rte 37 W
Suite 101
Toms River, NJ 08755-8050

Phone

(732) 240-4545

Fax

(732) 505-3257

NPI assigned

Feb 10, 2006

Last updated

Jul 11, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1326011214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087540289",
            "telephone_number": "732-240-4545",
            "fax_number": "732-505-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RTE 37 W",
            "address_2": "SUITE 101",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558050",
            "telephone_number": "732-240-4545",
            "fax_number": "732-505-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVIELLO",
        "first_name": "BENNY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB01786200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1115201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.