Riverside Medical Group PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

25MB06920900 Issued in NJ

Legal business name

RIVERSIDE MEDICAL GROUP PC

Practice address

725 River Rd
Suite 106
Edgewater, NJ 07020-1171

Phone

(201) 943-2273

NPI assigned

Aug 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mario Miglietta, D.O.

Title

President

Phone

(201) 461-1843

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1558555888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WINSTON DR",
            "address_2": "15C-SOUTH",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103240",
            "telephone_number": "201-969-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RIVER RD",
            "address_2": "SUITE 106",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201171",
            "telephone_number": "201-943-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "MIGLIETTA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-461-1843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MB06920900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Reyesgavilan, PT, DPT
• Richard S. Hughes III D.D.S.,P.a.
• River Road Dental PC
• Riverfront Medical Associates PC
• Riverfront Neurological Assoc LLC
• Riverview Acu LLC
• Riverview Gastroenterology, LLC
• Riverview Pain and Spine Institute PC
• Riverview Pain and Spine Institute PC
• Madeline Rodriguez-Hirsch, MSN, APRN, CDCES

• General Practice Physician in Edgewater, NJ
• Providers in Edgewater, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.