Edward Rivera

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

458 Grand Ave.
Suite 103
New Haven, CT 06513

Phone

(203) 752-1212

NPI assigned

Jan 25, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: edward.rivera.p1@direct.wheelerclinic.nextgenshare.com

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1366906141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 FOX HILL RD",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141812",
            "telephone_number": "203-727-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 GRAND AVE.",
            "address_2": "SUITE 103",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06513",
            "telephone_number": "203-752-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "EDWARD",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Alejandra Rivera Morales, B.SC
• Mikaela Rivera-Irizarry, LCSW
• Ada R Rivera, LPC
• Carlos Alberto Rivera, LCSW
• Daisy Ileana Rivera, LCSW
• Erika Rivera, MD
• Gabrielle Inette Rivera, MA
• Jose Luis Rivera Jr.
• Lisa Christine Rivera, NP
• Llelyanne Pamela Rivera, MD STUDENT

• Case Manager/Care Coordinator in New Haven, CT
• Providers in New Haven, CT by specialty
• Case Manager/Care Coordinator in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.