Ridgefield Medical Services LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA06158700 Issued in NJ

Legal business name

RIDGEFIELD MEDICAL SERVICES LLC

Practice address

8915 Bergenwood Ave
Suite 3
North Bergen, NJ 07047-5349

Phone

(201) 295-1616

Fax

(201) 295-0032

NPI assigned

Aug 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Maher Badri

Title

MD

Phone

(201) 295-1616

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

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

• M Maher A. Badri, MD

  • Internal Medicine Physician
  • North Bergen, NJ
  • NPI 1982785085

  NJ

  Medicare reassignment
• Zahia Zhort

  • Adult Health Nurse Practitioner
  • North Bergen, NJ
  • NPI 1215385505

  NJ

  Medicare reassignment

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1811244205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 BERGENWOOD AVE",
            "address_2": "SUITE 3",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475349",
            "telephone_number": "201-295-1616",
            "fax_number": "201-295-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 BERGENWOOD AVE",
            "address_2": "SUITE 3",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475349",
            "telephone_number": "201-295-1616",
            "fax_number": "201-295-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEFIELD MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "BADRI",
        "authorized_official_first_name": "MAHER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "201-295-1616",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA06158700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100108",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Luis Reveron, PHARMD
• Ruby Rey
• Salvador Emerson Reyes, LPC, LCADC
• Ralph E. Ricciardi Jr., M.D.
• Ridgefield Medical Group
• Ilonska Anatavel Rivas Prandy
• River Road Medical
• Mildred Rivera-Castro, L.C.S.W.
• Riverfront Intensivists
• Riverside Pediatric Group, PC

• All providers in North Bergen, NJ
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.