Riverside Preventative Health LLC

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

Legal business name

RIVERSIDE PREVENTATIVE HEALTH LLC

Practice address

1 Journal Square PLZ Ste 303
Jersey City, NJ 07306-4004

Phone

(914) 376-6100

Fax

(914) 231-6872

NPI assigned

Nov 27, 2017

Organization subpart

No

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

Authorized official

Name

Melissa Nieli

Title

Credentialing Manager

Phone

(914) 376-6100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1750895900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JOURNAL SQUARE PLZ STE 303",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064004",
            "telephone_number": "914-376-6100",
            "fax_number": "914-231-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JOURNAL SQUARE PLZ STE 303",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064004",
            "telephone_number": "914-376-6100",
            "fax_number": "914-231-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PREVENTATIVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "NIELI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "914-376-6100"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eulalia Rivera
• Maria J Rivera
• Nicole Claire Rivera, DC
• Lauren Rivers
• Riverside Pediatric Group, PC (Riverside Medical Group)
• Michael Rizk
• Anwar Ahmad Rizvi, M.D.
• Mohammad A Rizvi, MD
• RMR Home Care LLC Dba Home Helpers and Direct Link
• Robert G. Lahita, M.D., PH.D., P.C.

• Sports Medicine (Internal Medicine) Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Sports Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.