Active NPI
Riverside Pediatric Urgent Care PLLC
- Pediatrics Physician
- Newburyport, MA
National Provider Identifier
1679300420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- RIVERSIDE PEDIATRIC URGENT CARE PLLC
- Practice address
- 18 Highland Ave
Newburyport, MA 01950-3883 - Phone
- (978) 465-0322
- NPI assigned
- Sep 16, 2024
- Last updated
- Sep 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Pilz
- Title
- Manager
- Phone
- (978) 518-5327
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
18 Highland Ave
Newburyport, MA 01950-3883
Mailing address
15 Eagle St
Newburyport, MA 01950-2207
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Newburyport, MA
- NPI 1134167406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726790400000",
"number": "1679300420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 EAGLE ST",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019502207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 HIGHLAND AVE",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019503883",
"telephone_number": "978-465-0322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE PEDIATRIC URGENT CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-16",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A",
"authorized_official_last_name": "PILZ",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "978-518-5327"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburyport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.