Active NPI
Riverview Ambulatory Surgical Center LLC
- Ambulatory Surgical Clinic/Center
- Kingston, PA
National Provider Identifier
1811981145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 11911500
- Legal business name
- RIVERVIEW AMBULATORY SURGICAL CENTER LLC
- Practice address
- 423 3Rd Ave
Suite D
Kingston, PA 18704 - Phone
- (570) 331-2040
- Fax
- (570) 331-2043
- NPI assigned
- Sep 1, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas J Barna, MD
- Title
- President/Ceo
- Phone
- (570) 331-2040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 11911500 | PA | Primary |
Addresses
Primary practice location
423 3Rd Ave
Suite D
Kingston, PA 18704
Mailing address
423 3Rd Ave
Suite D
Kingston, PA 18704
Phone (570) 331-2040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11911500 | Other | PA | DEPT OF HEALTH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811981145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 3RD AVE",
"address_2": "SUITE D",
"city": "KINGSTON",
"state": "PA",
"postal_code": "18704",
"telephone_number": "570-331-2040",
"fax_number": "570-331-2043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 3RD AVE",
"address_2": "SUITE D",
"city": "KINGSTON",
"state": "PA",
"postal_code": "18704",
"telephone_number": "570-331-2040",
"fax_number": "570-331-2043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERVIEW AMBULATORY SURGICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BARNA",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "570-331-2040",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "PA",
"license": "11911500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF HEALTH",
"identifier": "11911500",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.