Organization Active NPI

Rivkin Addiction Medicine

  • Addiction Medicine (Family Medicine) Physician
  • Allen Park, MI
National Provider Identifier
1629916986
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
RIVKIN ADDICTION MEDICINE
Practice address
19100 Goddard Rd Ste 1
Allen Park, MI 48101-1156
Phone
(348) 330-2954
NPI assigned
Mar 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Dr. Aaron Matthew Rivkin, MDNPI 1629561063
Title
Owner, Sole Operator
Phone
(248) 330-2954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

19100 Goddard Rd Ste 1
Allen Park, MI 48101-1156

Mailing address

19100 Goddard Rd Ste 1
Allen Park, MI 48101-1156
Phone (313) 315-6922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260526003086 MI Part B Supplier - Clinic/Group Practice 2466922976 Receives reassigned benefits from 1 practitioner
Practice locations: Allen Park, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2340951Rivkin Addiction Medicine, PLLC19100 Goddard Road, Allen Park, MI 48101Certificate of waiverMar 24, 2028

National Provider Directory

National Provider Directory

Locations

19100 Goddard Rd
Ste 1
Allen Park, MI 48101
Phone (313) 315-6922

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1629916986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 GODDARD RD STE 1",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011156",
            "telephone_number": "313-315-6922",
            "fax_number": "313-315-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19100 GODDARD RD STE 1",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011156",
            "telephone_number": "348-330-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVKIN ADDICTION MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "RIVKIN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER, SOLE OPERATOR",
        "authorized_official_telephone_number": "248-330-2954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.