Riverside Medical, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RIVERSIDE MEDICAL, LLC

Practice address

714 10TH St
Secaucus, NJ 07094-2921

Phone

(201) 863-3346

Fax

(201) 863-5251

NPI assigned

Mar 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Azzam Abu Baker, MDNPI 1669575973

Title

President

Phone

(201) 863-3346

Specialties & licenses 1

Addresses

Practitioners 1

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

• Azzam Baker, M.D.

  • Pediatrics Physician
  • Secaucus, NJ
  • NPI 1669575973
  NPD (past) Authorized official

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1467694356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 10TH ST",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942921",
            "telephone_number": "201-863-3346",
            "fax_number": "201-863-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 10TH ST",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942921",
            "telephone_number": "201-863-3346",
            "fax_number": "201-863-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "AZZAM",
        "authorized_official_middle_name": "ABU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-863-3346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renew Acupuncture
• Rha Health Services LLC
• Julia Riftine, M.D., F.C.O.G.
• Melanie Rivelli, LMT
• Riverside Medical Group
• Robert W. Boyajian, MD, PA
• Robert Wood Johnson Medical Associates at Hamilton PA
• Estrella Maria Roca Ortiz, APN
• Christian Alcide Rodriguez, LCSW
• Lisa A Rossetti-Morano, D.M.D.

• Internal Medicine Physician in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.