Jorge Luis Rivera Agosto, JD, MS

Primary specialty

Clinical EthicistTaxonomy code 174V00000X

Practice address

27005 76TH Ave
New Hyde Park, NY 11040-1402

Phone

(718) 470-7000

NPI assigned

Jun 25, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor, Master of Science

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1326664350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 53RD ST APT 1A",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774602",
            "telephone_number": "917-806-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27005 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401402",
            "telephone_number": "718-470-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA AGOSTO",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "credential": "JD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174V00000X",
            "taxonomy_group": "",
            "desc": "Clinical Ethicist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "9178065393",
            "affiliation": "Y",
            "affiliationName": "Northwell Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "27005 76th Ave",
            "city": "New Hyde Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110401402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah N Risbrook, NP
• Rising Physical Therapy PLLC
• Rita Home Aide Inc.
• Garry S Ritter, PA, MHA
• Ritu Dave Physician PC
• Amanda Rivera, NP
• Ileana Maria Rivera
• Luis Rivera, M.D
• Sherry Rizkalla, PHARMD
• Gina Marie Rizzo, DO

• Clinical Ethicist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Clinical Ethicist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.