River Hospital, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

221001N Issued in NY

Legal business name

RIVER HOSPITAL, INC.

Practice address

4 Fuller St
Alexandria Bay, NY 13607-1316

Phone

(315) 482-1116

Fax

(315) 482-7153

NPI assigned

Jun 28, 2005

Last updated

Sep 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily Mastaler, PRESIDENT

Title

Chief Executive Officer

Phone

(315) 482-1110

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

River Hospital Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• River Hospital, Inc.

  • Community/Behavioral Health Agency
  • Alexandria Bay, NY
  • NPI 1295272755
  NPD tax ID

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1487650065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FULLER ST",
            "city": "ALEXANDRIA BAY",
            "state": "NY",
            "postal_code": "136071316",
            "telephone_number": "315-482-2511",
            "fax_number": "315-482-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FULLER ST",
            "city": "ALEXANDRIA BAY",
            "state": "NY",
            "postal_code": "136071316",
            "telephone_number": "315-482-1116",
            "fax_number": "315-482-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "MASTALER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "315-482-1110",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "221001N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02390774",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://hie.healtheconnections.org/#/healthe-login",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4 Fuller St",
            "city": "Alexandria Bay",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136071316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mahreen Abdul Razzaq, M.D.
• Rhody L Spooner Optical Services (1000 Eye Lands Optical)
• River Hospital, Inc.
• River Hospital, Inc.
• River Hospital, Inc.
• River Hospital, Inc.
• River Hospital, Inc.
• Crystal Rowley, LMSW
• Edward J Ryan
• Molly Ryan

• Adult Day Care Clinic/Center in Alexandria Bay, NY
• Providers in Alexandria Bay, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.