Active NPI
Riverside Hospital Inc
- Pediatrics Physician
- Newport News, VA
National Provider Identifier
1811910102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- RIVERSIDE HOSPITAL INC
- Practice address
- 10510 Jefferson Ave
Suite E
Newport News, VA 23601-3102 - Phone
- (757) 594-2846
- Fax
- (757) 594-1714
- NPI assigned
- Jul 26, 2006
- Organization subpart
- Yes
- Parent organization
- RIVERSIDE HOSPITAL INC
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
10510 Jefferson Ave
Suite E
Newport News, VA 23601-3102
Mailing address
856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
Phone (757) 594-4006
Other names 1
- Riverside Brentwood Medical Center Pediatrics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040517000888 | VA | Part B Supplier - Clinic/Group Practice | 1557271293 |
Receives reassigned benefits from 84 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hampton, VA; Newport News, VA |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Obstetrics & Gynecology Physician
- Newport News, VA
- NPI 1225059991
O20040517000888
National Provider Directory
National Provider Directory- Part of
- Cynthia Romero MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317081600000",
"number": "1811910102",
"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": "10510 JEFFERSON AVE",
"address_2": "SUITE E",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236013102",
"telephone_number": "757-594-2846",
"fax_number": "757-594-1714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE HOSPITAL INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RIVERSIDE HOSPITAL INC",
"enumeration_date": "2006-07-26",
"last_updated": "2011-09-27",
"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": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Riverside Brentwood Medical Center Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.