Individual provider Active NPI

Nancy Elizabeth Miller-Rivero, MD

  • Retina Specialist (Ophthalmology) Physician
  • Poughkeepsie, NY
National Provider Identifier
1417053752
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
209837 Issued in NY
Practice address
94 Pine St
Poughkeepsie, NY 12601-3942
Phone
(845) 454-3030
Fax
(845) 454-4125
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 209837 NY Primary

Addresses

Primary practice location

94 Pine St
Poughkeepsie, NY 12601-3942

Mailing address

94 Pine St
Poughkeepsie, NY 12601-3942
Phone (845) 454-3030

Other practice location 1

888 White Plains Rd Ste 202
Trumbull, CT 06611-4552
Phone (203) 365-6565

Other identifiers 1

IdentifierTypeStateIssuer
01861641MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070807000053 CT Practitioner - Ophthalmology 6800987751 Reassigns benefits to 1 organization
I20110210000035 NY Practitioner - Ophthalmology 6800987751 Reassigns benefits to 1 organization
Practice locations: Poughkeepsie, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JS Weill Medical College, Cornell University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Retina Consultants LLCGroup PAC ID 2769573765, 7 clinicians

Practice addresses (Care Compare)

46 Prince St
Suite 203
New Haven, CT 06519-1600
Phone 203787616110

888 White Plains Rd
Suite 202
Trumbull, CT 06611-4552
Phone (203) 365-6565

Hospital & facility affiliations

  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Dec 6, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Dec 6, 2020 Accepting new patients
Hudson Retina Retina Specialist Past Accepting new patients
Mendelsohn Medical LLC PastSince Jul 1, 2007 Accepting new patients

Locations

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Interoperability endpoints

  • Direct secure messaging: nmillerrivero@direct.health-quest.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1417053752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 PINE ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013942",
            "telephone_number": "845-454-3030",
            "fax_number": "845-454-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 PINE ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013942",
            "telephone_number": "845-454-3030",
            "fax_number": "845-454-4125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 White Plains Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Trumbull",
            "state": "CT",
            "postal_code": "066114552",
            "country_code": "US",
            "telephone_number": "203-365-6565",
            "fax_number": "203-365-6567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER-RIVERO",
        "first_name": "NANCY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "209837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01861641",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.