Organization Active NPI

Gerald J. Riffelmacher, M.D., PC

  • Internal Medicine Physician
  • Medford, MA
National Provider Identifier
1851411656
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
43699 Issued in MA
Legal business name
GERALD J. RIFFELMACHER, M.D., PC
Practice address
0 Governors Ave
Suite 33
Medford, MA 02155-3025
Phone
(781) 395-7638
NPI assigned
Mar 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gerald John Riffelmacher, M.D.NPI 1457351900
Title
President
Phone
(781) 395-7638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 43699 MA Primary

Addresses

Primary practice location

0 Governors Ave
Suite 33
Medford, MA 02155-3025

Mailing address

0 Governors Ave
Suite 33
Medford, MA 02155-3025
Phone (781) 395-7638

Other identifiers 5

IdentifierTypeStateIssuer
3357OtherMAHARVARD PILGRIM HEALTHCAR
5625342OtherMAAETNA
M13320OtherMABLUE SHIELD
701485AOtherMATUFTS HEALTH PLAN
9720618MedicaidMA

National Provider Directory

National Provider Directory

Locations

0 Governors Ave
Ste 33
Medford, MA 02155
Phone (781) 395-7638

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851411656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0 GOVERNORS AVE",
            "address_2": "SUITE 33",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553025",
            "telephone_number": "781-395-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0 GOVERNORS AVE",
            "address_2": "SUITE 33",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553025",
            "telephone_number": "781-395-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD J. RIFFELMACHER, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIFFELMACHER",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-395-7638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "43699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "3357",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5625342",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "M13320",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "701485A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9720618",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

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.

Verify at the official NPI Registry.