David Rivera, BS, CASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

20817 Issued in NY

Practice address

1795 Lexington Ave
New York, NY 10029-2866

Phone

(212) 289-1788

Fax

(212) 289-2430

NPI assigned

Oct 21, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

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.

• The Bridge, Inc.

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1831269315
  NPD (past)

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1861864688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292866",
            "telephone_number": "212-289-1788",
            "fax_number": "212-289-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292866",
            "telephone_number": "212-289-1788",
            "fax_number": "212-289-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "DAVID",
        "credential": "BS, CASAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "20817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Rivera, L.C.S.W.
• Damaris Rivera, NP
• Daniel Rivera, MD
• Daniel Rivera
• Daniela Rivera
• Edwin Fernando Rivera Sr., RPA
• Emilio A Rivera
• Emmy Rivera, LCSW
• Enid Celeste Rivera, PH.D.
• Erica M Rivera, PSYD

• Addiction (Substance Use Disorder) Counselor in New York, NY
• Providers in New York, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.