Riverdale Family Medicine, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9801124 Issued in NC

Legal business name

RIVERDALE FAMILY MEDICINE, PA

Practice address

127 E Market St
Smithfield, NC 27577-3915

Phone

(919) 967-6646

NPI assigned

Mar 15, 2007

Last updated

Aug 7, 2007By 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

Dr. Marie L Zaldivar, M.D.NPI 1063472462

Title

President

Phone

(919) 967-6646

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marie Luise Zaldivar, MD

  • Family Medicine Physician
  • Smithfield, NC
  • NPI 1063472462
  Authorized official Same address or phone
• Jessica Stephenson Johnson, FNP

  • Family Nurse Practitioner
  • Smithfield, NC
  • NPI 1588435283
  NPD (past)
• Karla Mendoza Rodriguez, PA-C

  • Physician Assistant
  • Cary, NC
  • NPI 1336712066
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1770617664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275770760",
            "telephone_number": "919-967-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E MARKET ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275773915",
            "telephone_number": "919-967-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "ZALDIVAR",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-967-6646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9801124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCNC",
            "identifier": "11623",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911623",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Richards, MS, CCC-SLP
• Ryan Nicole Riche
• Alison Rieber, LCSW
• Kathryn Martin Rikard, RD LDN
• Rising Phoenix Professional Services, LLC
• Josef Rivero, PA-C
• Anastasia M Robbins, APMHNP
• Robert L. Williamson, III, DDS5 (Smithfield Comprehensive & Cosmetic Dentistry)
• Stacey Marie Roberts, CCC-SLP
• Stevie Tyrone Robertson

• Family Medicine Physician in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.