Active NPI
Riverside Pediatrics,LLC
- Pediatrics Physician
- Newburyport, MA
National Provider Identifier
1760685754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 154472
- Legal business name
- RIVERSIDE PEDIATRICS,LLC
- Practice address
- 18 Highland Ave
Newburyport, MA 01950-3812 - Phone
- (978) 465-0322
- Fax
- (978) 465-4336
- NPI assigned
- Jun 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Pilz
- Title
- MD
- Phone
- (978) 465-0322
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 154472 | MA | Primary |
Addresses
Primary practice location
18 Highland Ave
Newburyport, MA 01950-3812
Mailing address
18 Highland Ave
Newburyport, MA 01950-3812
Phone (978) 465-0322
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D1015175 | Riverside Pediatrics | Certificate of waiver | Mar 30, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Newburyport, MA
- NPI 1134167406
-
- Family Nurse Practitioner
- Boston, MA
- NPI 1699553800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760685754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 HIGHLAND AVE",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019503812",
"telephone_number": "978-465-0322",
"fax_number": "978-465-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 HIGHLAND AVE",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019503812",
"telephone_number": "978-465-0322",
"fax_number": "978-465-4336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE PEDIATRICS,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PILZ",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "978-465-0322"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MA",
"license": "154472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburyport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.