NPIMap

Organization Active NPI

Riverside Physical Medicine P.C.

  • Chiropractor
  • Elizabeth, NJ
National Provider Identifier
1356019434
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RIVERSIDE PHYSICAL MEDICINE P.C.
Practice address
59-61 Elmora Ave
Elizabeth, NJ 07202-1657
Phone
(908) 469-4356
Fax
(855) 347-7879
NPI assigned
Sep 2, 2021
Last updated
Sep 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Dr. Giulio Caruso, DCNPI 1285770511
Title
Owner/Provider
Phone
(908) 469-4356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

59-61 Elmora Ave
Elizabeth, NJ 07202-1657

Mailing address

PO Box 833
Red Bank, NJ 07701-0833
Phone (917) 648-1779

Other identifiers 1

IdentifierTypeStateIssuer
1184795916OtherNJKEVIN GUINTA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL drsmagic.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1356019434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 833",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077010833",
            "telephone_number": "917-648-1779",
            "fax_number": "855-347-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59-61 ELMORA AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021657",
            "telephone_number": "908-469-4356",
            "fax_number": "855-347-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHYSICAL MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "GIULIO",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "908-469-4356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEVIN GUINTA",
            "identifier": "1184795916",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drsmagic.com",
            "affiliation": "N",
            "endpointDescription": "drsmagic.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "59-61 Elmora Ave",
            "city": "Elizabeth",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "072021657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.