Individual provider Active NPI

Gregory Rivera, DPM

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1790793834
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N005520 Issued in NY
Practice address
656 W 183Rd St
New York, NY 10033-3806
Phone
(212) 795-2261
Fax
(212) 795-2671
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N005520 NY Primary

Addresses

Primary practice location

656 W 183Rd St
New York, NY 10033-3806

Mailing address

656 W 183Rd St
New York, NY 10033-3806
Phone (212) 795-2261

Other identifiers 1

IdentifierTypeStateIssuer
02487227MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060306000635 NY Practitioner - Podiatry 5799791331 Practice locations: New York, NY
I20081002000201 NJ Practitioner - Podiatry 5799791331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

63 Main St
Suite 206
Flemington, NJ 08822-1421
Phone (908) 751-0855

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005520NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Top Foot Care PC Foot & Ankle Surgery CurrentSince Jun 24, 2021 Accepting new patients
New York University Medical Center PastSince Mar 15, 2008 Accepting new patients

Locations

63 Main St
Ste 206
Flemington, NJ 08822
Phone (646) 853-0642

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: gregory.rivera@xnfa.ssdirect.aprima.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1790793834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 W 183RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333806",
            "telephone_number": "212-795-2261",
            "fax_number": "212-795-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 W 183RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333806",
            "telephone_number": "212-795-2261",
            "fax_number": "212-795-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02487227",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.