Individual provider Active NPI

Zinnia M Rivera, PT

  • Physical Therapist
  • Newark, NJ
National Provider Identifier
1578744884
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01060600 Issued in NJ
Practice address
34 Clinton St
Newark, NJ 07102-3704
Phone
(973) 622-0888
Fax
(973) 622-1610
NPI assigned
Nov 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01060600 NJ Primary

Addresses

Primary practice location

34 Clinton St
Newark, NJ 07102-3704

Mailing address

34 Clinton St
Newark, NJ 07102-3704
Phone (973) 622-0888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071204000241 NJ Practitioner - Physical Therapist in Private Practice 1850480575 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Spinecare and Rehabilitation Medicine PCGroup PAC ID 5496049454, 3 clinicians

Practice addresses (Care Compare)

135 Ave B
Bayonne, NJ 07002-2037
Phone (201) 455-3008

381 Teaneck Rd
Teaneck, NJ 07666-4069
Phone (201) 866-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aaz Physical Therapy, LLC CurrentSince Mar 10, 2015 Accepting new patients
Pain Relief Center PA CurrentSince May 1, 2015 Accepting new patients
Hudson Wellness LLC Physical Therapist Past Accepting new patients

Locations

543 45th St
Union City, NJ 07087
Phone (201) 662-5437

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": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1578744884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CLINTON ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023704",
            "telephone_number": "973-622-0888",
            "fax_number": "973-622-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 CLINTON ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023704",
            "telephone_number": "973-622-0888",
            "fax_number": "973-622-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ZINNIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01060600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.