Active NPI
Riverside Physician Services, Inc
- Internal Medicine Physician
- Nassawadox, VA
National Provider Identifier
1487960134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- RIVERSIDE PHYSICIAN SERVICES, INC
- Practice address
- 9524 Hospital Ave
Nassawadox, VA 23413 - Phone
- (757) 442-6600
- Fax
- (757) 442-3839
- NPI assigned
- Aug 19, 2010
- Organization subpart
- Yes
- Parent organization
- RIVERSIDE PHYSICIAN SERVICES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Lesnick, MD
- Title
- Vice Presidentq
- Phone
- (757) 594-4006
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Neurology Physician | 2084N0400X | |||
| Podiatrist | 213E00000X | VA |
Addresses
Primary practice location
9524 Hospital Ave
Nassawadox, VA 23413
Mailing address
856 J Clyde Morris Blvd
Ste a
Newport News, VA 23601-1318
Phone (757) 594-4006
Other names 1
- Riverside Eastern Shore Physicians and Surgeons
National Provider Directory
National Provider Directory- Part of
- RPS Ta Rvrsde Tpphnck GRP
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Staunton, VA
- NPI 1407212954
Member Of
Locations
2244 Executive Dr
Hampton, VA 23666
Phone (757) 827-1001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317081600000",
"number": "1487960134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 J CLYDE MORRIS BLVD",
"address_2": "STE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011318",
"telephone_number": "757-594-4006",
"fax_number": "757-534-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9524 HOSPITAL AVE",
"city": "NASSAWADOX",
"state": "VA",
"postal_code": "23413",
"telephone_number": "757-442-6600",
"fax_number": "757-442-3839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE PHYSICIAN SERVICES, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RIVERSIDE PHYSICIAN SERVICES, INC",
"enumeration_date": "2010-08-19",
"last_updated": "2011-09-27",
"status": "A",
"authorized_official_last_name": "LESNICK",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "VICE PRESIDENTQ",
"authorized_official_telephone_number": "757-594-4006",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "VA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Riverside Eastern Shore Physicians and Surgeons",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nassawadox, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.