Carlos G Rivera M.D., PC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

25MA06184200 Issued in NJ

Legal business name

CARLOS G RIVERA M.D., PC

Practice address

9 Memorial Pkwy
Long Branch, NJ 07740-6701

Phone

(732) 728-7010

NPI assigned

May 20, 2013

Organization subpart

No

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

Authorized official

Name

Susan Swoope

Title

Manager

Phone

(732) 977-4946

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Carlos Gallegos Rivera, M.D.,

  • Legal Medicine
  • Long Branch, NJ
  • NPI 1992741326
  Medicare reassignment NPD

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1447696216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MEMORIAL PKWY",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406701",
            "telephone_number": "732-728-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MEMORIAL PKWY",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406701",
            "telephone_number": "732-728-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS G RIVERA M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "SWOOPE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-977-4946"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NJ",
            "license": "25MA06184200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6635008",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan Hackett LPC LLC
• Barbra A Bunkley, LCSW
• Megan Elizabeth Burke, NP-C
• Sherry Campbell Grumet, MA, MS, CGC
• Caringhouse Projects, Inc
• Kelly Eleanor Carr, DPT
• Virginia L Carreira, RN,FNP,C
• Rosemary Josefa Carvajal, PT, DPT
• Erika Cataldi, RN
• Merve Celebi, MD

• Exclusive Provider Organization in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• Exclusive Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.