Riverside Physicain Services Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

RIVERSIDE PHYSICAIN SERVICES INC

Practice address

12200 Warwick Blvd
Suite 290
Newport News, VA 23601

Phone

(757) 534-5454

Fax

(757) 534-5491

NPI assigned

Dec 28, 2007

Organization subpart

Yes

Parent organization

RIVERSIDE PHYSICIAN SERVICES INCAs reported in NPPES

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

Authorized official

Name

James Lesnick, MD

Title

Vice President

Phone

(757) 594-4006

Specialties & licenses 2

Addresses

Other names 1

• Riverside Peninsula Pulmonary and Sleep Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Part of

RPS Ta Rvrsde Tpphnck GRP

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1679757462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-594-4006",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 WARWICK BLVD",
            "address_2": "SUITE 290",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23601",
            "telephone_number": "757-534-5454",
            "fax_number": "757-534-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHYSICAIN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "enumeration_date": "2007-12-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "LESNICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "757-594-4006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Peninsula Pulmonary and Sleep Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riverside Hospital, Inc
• Riverside Medical Education
• Riverside Physcian Services Inc
• Riverside Physcian Services Inc
• Riverside Physcian Services Inc
• Riverside Physician Services Inc
• Riverside Physician Services Inc
• Riverside Physician Services Inc
• Riverside Physician Services Inc
• Riverside Physician Services Inc

• Pulmonary Disease Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Pulmonary Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.