Raymond A. Rivell, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00102000 Issued in NJ

Practice address

7 Glenwood PL
Pennsville, NJ 08070-0247

Phone

(856) 678-4550

Fax

(856) 678-6272

NPI assigned

Apr 23, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

• Raymond a Rivell DPM PA

  • Wound Care Registered Nurse
  • Pennsville, NJ
  • NPI 1710085121
  Authorized official Same address or phone

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871711820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GLENWOOD PL",
            "address_2": "PO BOX 247",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701732",
            "telephone_number": "856-678-4550",
            "fax_number": "856-678-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GLENWOOD PL",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080700247",
            "telephone_number": "856-678-4550",
            "fax_number": "856-678-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVELL",
        "first_name": "RAYMOND",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00102000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3058808",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Pennsville, NJ
• Providers in Pennsville, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.