Organization Active NPI

Riverview Gastroenterology, LLC

  • Gastroenterology Physician
  • Edgewater, NJ
National Provider Identifier
1811206667
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
RIVERVIEW GASTROENTEROLOGY, LLC
Practice address
935 River Rd
Suite 201
Edgewater, NJ 07020-2234
Phone
(201) 969-2111
Fax
(201) 969-8015
NPI assigned
Sep 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Mrs. Jennifer L Dittamo
Title
Medical Billing Specialist
Phone
(201) 969-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

935 River Rd
Suite 201
Edgewater, NJ 07020-2234

Mailing address

935 River Rd
Suite 201
Edgewater, NJ 07020-2234
Phone (201) 969-2111

National Provider Directory

National Provider Directory

Locations

968 River Rd
Ste 200
Edgewater, NJ 07020
Phone (201) 224-0757

935 River Rd
Ste 201
Edgewater, NJ 07020
Phone (201) 969-2111

1265 Paterson Plank Rd
#2D
Secaucus, NJ 07094
Phone (201) 969-2111

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1811206667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 RIVER RD",
            "address_2": "SUITE 201",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070202234",
            "telephone_number": "201-969-2111",
            "fax_number": "201-969-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 RIVER RD",
            "address_2": "SUITE 201",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070202234",
            "telephone_number": "201-969-2111",
            "fax_number": "201-969-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW GASTROENTEROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "DITTAMO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL BILLING SPECIALIST",
        "authorized_official_telephone_number": "201-969-2111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.