NPIMap

Organization Active NPI

Riverside Family Medicine

  • Student in an Organized Health Care Education/Training Program
  • Newport News, VA
National Provider Identifier
1467849349
Registry record updated Apr 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
RIVERSIDE FAMILY MEDICINE
Practice address
10510 Jefferson Ave Ste a
Newport News, VA 23601-3102
Phone
(757) 594-3800
Fax
(575) 594-3890
NPI assigned
Apr 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2015

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

Authorized official

Name
Marium Mujahid
Title
Resident
Phone
(703) 314-4456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

10510 Jefferson Ave Ste a
Newport News, VA 23601-3102

Mailing address

10510 Jefferson Ave Ste a
Newport News, VA 23601-3102
Phone (757) 594-3800

National Provider Directory

National Provider Directory
Tax ID family
Community Care Services456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 9

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1429401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429401600000",
    "number": "1467849349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 JEFFERSON AVE STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236013102",
            "telephone_number": "757-594-3800",
            "fax_number": "575-594-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10510 JEFFERSON AVE STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236013102",
            "telephone_number": "757-594-3800",
            "fax_number": "575-594-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-19",
        "last_updated": "2015-04-19",
        "status": "A",
        "authorized_official_last_name": "MUJAHID",
        "authorized_official_first_name": "MARIUM",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "703-314-4456"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2015; 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.