Individual provider Active NPI

Stephanie Denise Rivera-Segarra, M.D.

  • Obstetrics & Gynecology Physician
  • Tenafly, NJ
National Provider Identifier
1760747356
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA09942700 Issued in NJ
Practice address
2 Dean Dr
Tenafly, NJ 07670-2765
Phone
(201) 569-3300
Fax
(201) 569-7649
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA09942700 NJ Primary

Addresses

Primary practice location

2 Dean Dr
Tenafly, NJ 07670-2765

Mailing address

2 Dean Dr
Tenafly, NJ 07670-2765
Phone (201) 569-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171010000122 NJ Practitioner - Obstetrics/Gynecology 8224303797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

2 Dean Dr
Tenafly, NJ 07670-2765
Phone (201) 569-3300

Hospital & facility affiliations

  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09942700NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Oct 1, 2017 Accepting new patients
Englewood Hospital and Medical Center Past Accepting new patients

Locations

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

401 S Van Brunt St
Ste 301
Englewood, NJ 07631
Phone (201) 659-7700

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

177 N Dean St
Ste 201
Englewood, NJ 07631
Phone (201) 347-4012

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

1265 Paterson Plank Rd
Ste 3D
Secaucus, NJ 07094
Phone (201) 864-4442

2 Dean Dr
Tenafly, NJ 07670
Phone (201) 568-8288

Interoperability endpoints

  • Direct secure messaging: sriverasegarra236739@direct.englewoodhealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1760747356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DEAN DR",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702765",
            "telephone_number": "201-569-3300",
            "fax_number": "201-569-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DEAN DR",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702765",
            "telephone_number": "201-569-3300",
            "fax_number": "201-569-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-SEGARRA",
        "first_name": "STEPHANIE",
        "middle_name": "DENISE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA09942700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

Verify at the official NPI Registry.