Rommel Rivera, M.D., P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD060112L Issued in PA

Legal business name

ROMMEL RIVERA, M.D., P.C.

Practice address

110 S 20TH St
Suite 206
Philadelphia, PA 19103-4486

Phone

(610) 892-0565

NPI assigned

Jan 26, 2009

Organization subpart

No

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

Authorized official

Name

Rommel Rivera, M.D.NPI 1619098159

Title

Owner

Phone

(610) 892-0565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Rommel Lubiano Rivera, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1619098159
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1760620900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 N RIDLEY CREEK RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634531",
            "telephone_number": "610-892-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 20TH ST",
            "address_2": "SUITE 206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034486",
            "telephone_number": "610-892-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMMEL RIVERA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ROMMEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-892-0565",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD060112L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Romig, CNS
• Reva May Romine, MSW
• Amy Leigh Rominger, AUD
• Raquel A Romirowsky, PSY.D.
• Vineeth Romiyo, MD
• Patrick M. Rommel, DO
• Victor Romo, M.D.
• Raymond Romsdahl
• Ron Home Health Care Incorporation
• Ronald a Codario, M.D.P.C.

• Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.