Laurice Joyce Rivera, N.P.

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

350372 Issued in NY

Practice address

180 Melrose Ave
Bergenfield, NJ 07621-3428

Phone

(201) 647-3428

NPI assigned

Jan 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: jor9118@direct.nyp.org

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1639568397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MELROSE AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MELROSE AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213428",
            "telephone_number": "201-647-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LAURICE",
        "middle_name": "JOYCE",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "NY",
            "license": "603426",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NY",
            "license": "350372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Respite Universal Network
• Gina Marie Restivo, PSYD, BCBA-D, NCSP
• Hila Revah, LCSW
• Mary Albert Mallari Reyes
• Rite Aid of New Jersey Inc
• Mary Jean Rivera
• Yudeika Robles
• Delmaliz Rodriguez, A.S.S
• Johnny Rodriguez
• Lismery Rodriguez

• Neonatal Nurse Practitioner in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Neonatal Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.