Organization Active NPI

River Valley Infectious Disease Specialists Inc.

  • Infectious Disease Physician
  • Newburyport, MA
National Provider Identifier
1366712002
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
224290 Issued in MA
Legal business name
RIVER VALLEY INFECTIOUS DISEASE SPECIALISTS INC.
Practice address
21 Highland Ave
Suite 5
Newburyport, MA 01950-3872
Phone
(978) 499-3810
Fax
(978) 462-2316
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

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

Authorized official

Name
Dr. Joseph W Gross, MD
Title
Owner
Phone
(978) 499-3810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 224290 MA Primary

Addresses

Primary practice location

21 Highland Ave
Suite 5
Newburyport, MA 01950-3872

Mailing address

21 Highland Ave
Suite 5
Newburyport, MA 01950-3872
Phone (978) 499-3810

National Provider Directory

National Provider Directory

Locations

21 Highland Ave
Ste 5
Newburyport, MA 01950
Phone (978) 255-4217

21 Highland Ave
Ste 1A
Newburyport, MA 01950
Phone (978) 499-3810

Practitioners & affiliated clinicians

Practitioners 169

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 169

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1366712002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE",
            "address_2": "SUITE 5",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503872",
            "telephone_number": "978-499-3810",
            "fax_number": "978-387-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE",
            "address_2": "SUITE 5",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503872",
            "telephone_number": "978-499-3810",
            "fax_number": "978-462-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY INFECTIOUS DISEASE SPECIALISTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2017-09-07",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-499-3810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MA",
            "license": "224290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.