Riverfront Medical

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

License

163502-1 Issued in NY

Legal business name

RIVERFRONT MEDICAL

Practice address

105 Woodberry LN
Fayetteville, NY 13066-1745

Phone

(315) 445-9655

NPI assigned

Jan 17, 2013

Organization subpart

No

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

Authorized official

Name

Peter Clark

Title

President

Phone

(315) 451-3906

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda Anne Pryor, FNP

  • Family Nurse Practitioner
  • Liverpool, NY
  • NPI 1275529950
  NPD (past)

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1780922302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 7TH NORTH ST",
            "address_2": "SUITE 220",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886192",
            "telephone_number": "315-451-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WOODBERRY LN",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661745",
            "telephone_number": "315-445-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERFRONT MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-451-3906"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "NY",
            "license": "163502-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Right Size Kids, Inc.
• Cami K Riley, MD
• Marley M Rinoldo, DDS
• Maudie Watkins Ritchie, LCSW-R; ACSW;BCD;BCE
• Michael John Ritter
• Linda Nancy Robinson, M.D.
• Edward Robison, D.D.S.
• Sonja Rockett, OTR
• Gerard S Rodziewicz, MD
• Melissa Roe, PA

• Corporate Health Clinic/Center in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Corporate Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.