Riverside Pediatric Group, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RIVERSIDE PEDIATRIC GROUP, PC

Practice address

939 John F. Kennedy Boulevard
North Bergen, NJ 07047

Phone

(201) 864-2484

Fax

(201) 861-6460

NPI assigned

Feb 1, 2017

Organization subpart

No

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

Authorized official

Name

Zeyad Baker, MD

Title

Principal

Phone

(551) 257-7038

Specialties & licenses 1

Addresses

Other names 1

• Riverside Medical Group Doing business as

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1689112427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 MEADOWLANDS PKWY",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942925",
            "telephone_number": "551-257-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 JOHN F. KENNEDY BOULEVARD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "07047",
            "telephone_number": "201-864-2484",
            "fax_number": "201-861-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PEDIATRIC GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "ZEYAD",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "551-257-7038",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ridgefield Medical Services LLC
• Ilonska Anatavel Rivas Prandy
• River Road Medical
• Mildred Rivera-Castro, L.C.S.W.
• Riverfront Intensivists
• Riverside Pediatric Group, PC
• Jihade Rizk, RD
• Conor Rizzuto, MD
• Robert B Thorne MD PLLC
• Rodolfo L. Rodriguez, O.D., P.a.

• All providers in North Bergen, NJ
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.