Adaliz Rivera, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA08383800 Issued in NJ

Practice address

443 Shore Road, 2ND Floor
Ste 201
Somers Point, NJ 08244

Phone

(609) 407-7747

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Rutgers New Jersey Medical School, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Form Health Associates Ma, P.C.Group PAC ID 3375953961, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adaliz.rivera@168064768409604.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Form Health Associates Ma, P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Boston, MA
  • NPI 1386260594

  Family Medicine, NY

  Medicare reassignment Care Compare group NPD
• Atlanticare Health Services, Inc.

  • Clinic/Center
  • Atlantic City, NJ
  • NPI 1215987771
  Medicare reassignment NPD
• Atlanticare Physician Group PA

  • Clinic/Center
  • Egg Harbor Township, NJ
  • NPI 1093829608

  Family Medicine

  Medicare reassignment NPD
• Healthy Life Physicians Group, P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Newark, NJ
  • NPI 1518613843

  Family Medicine

  Medicare reassignment NPD
• Cooper Family Medicine PC

  • Family Medicine Physician
  • Moorestown, NJ
  • NPI 1093929895
  Medicare reassignment
• Atlanticare Health Services Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlantic City, NJ
  • NPI 1679148712
  NPD
• Atlanticare Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Egg Harbor Township, NJ
  • NPI 1407617947
  NPD
• Atlanticare Physician Group, PA

  • Urgent Care Clinic/Center
  • Galloway, NJ
  • NPI 1003820622
  NPD
• Atlanticare Health Services Inc.

  • Federally Qualified Health Center (FQHC)
  • Galloway, NJ
  • NPI 1043700495
  NPD (past)
• Cooper Family Medicine

  • Family Medicine Physician
  • Camden, NJ
  • NPI 1033312939
  NPD (past)
• Cooper Family Medicine, PC

  • Family Medicine Physician
  • Cherry Hill, NJ
  • NPI 1649217175
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1508073362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ATLANTIC AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084017001",
            "telephone_number": "609-572-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 SHORE ROAD, 2ND FLOOR",
            "address_2": "STE 201",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "08244",
            "telephone_number": "609-407-7747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Cooper Plaza",
            "address_2": "Suite 502",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "08103",
            "country_code": "US",
            "telephone_number": "856-963-6888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Atlantic Ave Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Atlantic City",
            "state": "NJ",
            "postal_code": "084017001",
            "country_code": "US",
            "telephone_number": "609-572-8686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ADALIZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MT-186936",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA08383800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60041545",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01004664200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3922128",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6677002",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9735178",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0169765",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reliance Womens Health
• Nicole Antionette Rettino, LCSW
• Christol Alfreda Reynolds
• Holly L Richardson, PHARMD
• Tiffany Mari Rios, RD, CDE
• Sean Patrick Rivera
• Anthony J Rizzetta, DO
• Rnfa Surgical Services LLC
• Marianne Robb, CRNA
• Robert J Bray, DDS, Ms, PA

• Family Medicine Physician in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.