Riverside Family Practice, PC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

25MA06291500 Issued in NJ

Legal business name

RIVERSIDE FAMILY PRACTICE, PC

Practice address

718 Teaneck Rd
Teaneck, NJ 07666-4245

Phone

(201) 833-3909

Fax

(201) 833-7073

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Adam Jarrett, M.D.

Title

Cmo, M.D.

Phone

(201) 833-3000

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 5

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

• Nancy A Fremed, RN,MSN,APN

  • Adult Health Nurse Practitioner
  • Teaneck, NJ
  • NPI 1710292396
  NPD (past)
• Warren Glick, APN

  • Adult Health Nurse Practitioner
  • Englewood, NJ
  • NPI 1780912139
  NPD (past)
• Craig Hersh, M.D.

  • Specialist
  • Teaneck, NJ
  • NPI 1548276579
  NPD (past)
• Richard Hong Ki Joo, MD

  • Internal Medicine Physician
  • Englewood Cliffs, NJ
  • NPI 1851351282
  NPD (past)
• Robi Rosenfeld, D.O.

  • Family Medicine Physician
  • Monsey, NY
  • NPI 1982773081
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1730106196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-833-3000",
            "fax_number": "201-227-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-833-3909",
            "fax_number": "201-833-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "JARRETT",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CMO, M.D.",
        "authorized_official_telephone_number": "201-833-3000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05312800",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MA06291500",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03273300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION #",
            "identifier": "203130405",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rise Mental Health Services, LLC
• Angelina Rivera
• Antonio Luis Rivera, LCSW
• Sandra Rivera, MSW, LCSW
• Yadyra Rivera, M.D.
• Riverside Health Solutions LLC
• Dahlia Rivkin, MSN, FNP-C
• Michelle Rivkin, LPC
• Joseph Rizzo, MD
• Rlscc, LLC

• Sports Medicine (Family Medicine) Physician in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Sports Medicine (Family Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.