Individual provider Active NPI

Veronica Gonzalez-Rivera, MD

  • Pediatrics Physician
  • Wildwood, NJ
National Provider Identifier
1578722740
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA08727700 Issued in NJ
Practice address
3700 New Jersey Ave
Wildwood, NJ 08260-6154
Phone
(856) 451-4700
Fax
(856) 794-7183
NPI assigned
Jun 3, 2008
Last updated
Oct 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA08727700 NJ Primary

Addresses

Primary practice location

3700 New Jersey Ave
Wildwood, NJ 08260-6154

Mailing address

53 S Laurel St
Bridgeton, NJ 08302-1946
Phone (856) 451-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120529000379 NJ Practitioner - Pediatric Medicine 1658534771 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Feb 4, 2017 Accepting new patients
Community Health Care, Inc. Pediatrics CurrentSince Feb 4, 2017 Accepting new patients
Community Health Care, Inc. Past Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients
Community Health Care, Inc. Past Accepting new patients

Locations

265 Irving Ave
Bridgeton, NJ 08302

30 N Pearl St
Bridgeton, NJ 08302

335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755

319 W Landis Ave
Vineland, NJ 08360
Phone 85669133001166

3700 New Jersey Ave
Wildwood, NJ 08260
Phone (609) 465-0258

Interoperability endpoints

  • Direct secure messaging: veronica.gonzalezrivera.p1@direct.cchn.nextgenshare.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1578722740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 S LAUREL ST",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021946",
            "telephone_number": "856-451-4700",
            "fax_number": "856-794-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 NEW JERSEY AVE",
            "city": "WILDWOOD",
            "state": "NJ",
            "postal_code": "082606154",
            "telephone_number": "856-451-4700",
            "fax_number": "856-794-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-RIVERA",
        "first_name": "VERONICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08727700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, NJ

Sources for this page

Verify at the official NPI Registry.