Riverside Pediatric Group, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RIVERSIDE PEDIATRIC GROUP, PC

Doing business as

Riverside Medical Group

Practice address

2761 John F Kennedy Blvd
Jersey City, NJ 07306-5515

Phone

(201) 653-7030

Fax

(201) 792-0576

NPI assigned

Feb 1, 2017

Last updated

Feb 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zeyad Baker, MD

Title

Principal

Phone

(551) 257-7038

Specialties & licenses 1

Addresses

Other names 1

• Riverside Medical Group Doing business as

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1770021511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 MEADOWLANDS PKWY",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942925",
            "telephone_number": "551-257-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065515",
            "telephone_number": "201-653-7030",
            "fax_number": "201-792-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PEDIATRIC GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "ZEYAD",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "551-257-7038",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Rivera, LCSW
• Eulalia Rivera
• Maria J Rivera
• Nicole Claire Rivera, DC
• Lauren Rivers
• Riverside Preventative Health LLC
• Michael Rizk
• Anwar Ahmad Rizvi, M.D.
• Mohammad A Rizvi, MD
• RMR Home Care LLC Dba Home Helpers and Direct Link

• Durable Medical Equipment & Medical Supplies in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.