Individual provider Active NPI

Julia Riftine, M.D., F.C.O.G.

  • Obstetrics & Gynecology Physician
  • Secaucus, NJ
National Provider Identifier
1861685216
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA08303000 Issued in NJ
Practice address
55 Meadowlands Pkwy
Suite 436
Secaucus, NJ 07094-2977
Phone
(201) 392-3063
Fax
(201) 392-3069
NPI assigned
Aug 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA08303000 NJ Primary

Addresses

Primary practice location

55 Meadowlands Pkwy
Suite 436
Secaucus, NJ 07094-2977

Mailing address

1225 River Road
Apt 4D
Edgewater, NJ 07020-1460
Phone (201) 392-3063

Other identifiers 1

IdentifierTypeStateIssuer
0324680MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120525000019 NJ Practitioner - Obstetrics/Gynecology 0840453072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

55 Meadowlands Pkwy
Suite 436
Secaucus, NJ 07094-2977
Phone (201) 392-3063

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08303000NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Healthcare Associates, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: julia.riftine.1@9353.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1861685216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 RIVER ROAD",
            "address_2": "APT 4D",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201460",
            "telephone_number": "201-392-3063",
            "fax_number": "201-392-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MEADOWLANDS PKWY",
            "address_2": "SUITE 436",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942977",
            "telephone_number": "201-392-3063",
            "fax_number": "201-392-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIFTINE",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "M.D., F.C.O.G.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA08303000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0324680",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

Verify at the official NPI Registry.