Riverside Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RIVERSIDE MEDICAL SUPPLY LLC

Practice address

3 S Market St Ste 5
Selinsgrove, PA 17870-1801

Phone

(570) 884-4417

Fax

(570) 227-0260

NPI assigned

Sep 13, 2018

Organization subpart

No

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

Authorized official

Name

Rob Hunter

Title

President

Phone

(828) 407-7744

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1487137667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 S MARKET ST STE 5",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178701801",
            "telephone_number": "570-884-4417",
            "fax_number": "570-227-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 S MARKET ST STE 5",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178701801",
            "telephone_number": "570-884-4417",
            "fax_number": "570-227-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-407-7744"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marlo Raup, CRNP
• Gregory T. Reese, D.C.
• Richard E Sheaffer & Phillip L Wise
• Renee Richie
• Angela Maria Rickabaugh, PHARMD
• Riverview Orthotics Prosthetics Inc
• Michelle Lynn Robatin, PA-C
• Adrianne Leigh Robbins, LSW
• Nakita Robinson
• Rebecca Jean Romanic, LSW

• Durable Medical Equipment & Medical Supplies in Selinsgrove, PA
• Providers in Selinsgrove, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.