Riverside Physician Services Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RIVERSIDE PHYSICIAN SERVICES INC

Doing business as

Riverside Internal Medicine

Practice address

12420 Warwick Blvd
BLDG. 3-Suite 4a
Newport News, VA 23606-3001

Phone

(757) 594-4431

Fax

(757) 594-2936

NPI assigned

Jul 27, 2006

Last updated

Sep 28, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

RIVERSIDE PHYSICIAN SERVICES INCAs reported in NPPES

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

Authorized official

Name

James Lesnick, MD

Title

Vice President

Phone

(757) 594-4006

Specialties & licenses 1

Addresses

Other names 1

• Riverside Internal Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Part of

Riverside OB-GYN

Locations

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1780608133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-594-4006",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12420 WARWICK BLVD",
            "address_2": "BLDG. 3-SUITE 4A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063001",
            "telephone_number": "757-594-4431",
            "fax_number": "757-594-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE PHYSICIAN SERVICES INC",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "LESNICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "757-594-4006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riverside Physician Services Inc (Peninsula Vascular Surgery-NN)
• Riverside Physician Services Inc (Riverside ENT Physicians and Surgeons)
• Riverside Physician Services Inc (Riverside GYN Specialists)
• Riverside Physician Services Inc (Warwick Primary Care)
• Riverside Physician Services Inc (Neuro-Interventiion Center)
• Riverside Physician Services Inc (Commonwealth Family Practice)
• Riverside Physician Services Inc (Riverside Pain & Intervention Center)
• Riverside Physician Services Inc (Riverside GYN/Oncology)
• Riverside Physician Services Inc (Riverside RadioSurgery Center)
• Riverside Physician Services Inc (Riverside Tidewater Thoracic & Cardiovascular)

• Internal Medicine Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.