Organization Active NPI

Riverdale Internal Medicine & Geriatric Services, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Bronx, NY
National Provider Identifier
1356429740
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
207153 Issued in NY
Legal business name
RIVERDALE INTERNAL MEDICINE & GERIATRIC SERVICES, PC
Practice address
3533 Riverdale Ave
Bronx, NY 10463-1829
Phone
(718) 432-5500
Fax
(718) 432-5230
NPI assigned
Nov 1, 2006
Last updated
Aug 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Dr. Liliya Lotsvin, M.D.NPI 1144221110
Title
Ceo
Phone
(718) 543-6404

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
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 207153 NY Primary

Addresses

Primary practice location

3533 Riverdale Ave
Bronx, NY 10463-1829

Mailing address

5625 Independence Ave
Bronx, NY 10471-1230
Phone (914) 309-5801

Other identifiers 11

IdentifierTypeStateIssuer
2043796OtherNYUNITED HEALTHCARE
207153OtherNYHIP OF GREATER NY
2594234OtherNYGHI
4C7908OtherNYHEALTHNET NORTHEAST
P00102478OtherNYRAILROAD MEDICARE
P2706586OtherNYOXFORD HEALTHCARE
068AR1OtherNYEMPIRE BLUE CROSS BLUE S
LL7153OtherNYATLANTIS HEALTHCARE
01827669MedicaidNY
2016541007OtherNYCIGNA HEALTHCARE
5227722OtherNYAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323001760 NY Part B Supplier - Clinic/Group Practice 7810888328 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1003934Riverdale Internal Medicine & Geriatric Services3533 Riverdale Avenue, Suite 1D, Bronx, NY 10463Certificate of waiverSep 15, 2026

National Provider Directory

National Provider Directory

Locations

3108 Kingsbridge Ave
Ste 1B
Bronx, NY 10463
Phone (718) 884-8181

5601 Riverdale Ave
Apt 1D
Bronx, NY 10471
Phone (718) 432-5500

Practitioners & affiliated clinicians

Practitioners 2

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1356429740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 INDEPENDENCE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711230",
            "telephone_number": "914-309-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631829",
            "telephone_number": "718-432-5500",
            "fax_number": "718-432-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE INTERNAL MEDICINE & GERIATRIC SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "LOTSVIN",
        "authorized_official_first_name": "LILIYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-543-6404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "207153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2043796",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP OF GREATER NY",
            "identifier": "207153",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2594234",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET NORTHEAST",
            "identifier": "4C7908",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00102478",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTHCARE",
            "identifier": "P2706586",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE S",
            "identifier": "068AR1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIS HEALTHCARE",
            "identifier": "LL7153",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01827669",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "2016541007",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5227722",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.