Active NPI
Andrea Michelle Rivers, ANP
- Adult Health Nurse Practitioner
- Wayne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00600700
- Practice address
- 645 Preakness Ave
Wayne, NJ 07470-2533 - Phone
- (973) 452-4674
- NPI assigned
- Jan 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00600700 | NJ | Primary |
Addresses
Primary practice location
645 Preakness Ave
Wayne, NJ 07470-2533
Mailing address
645 Preakness Ave
Wayne, NJ 07470-2533
Phone (973) 452-4674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
165 N Village Ave
Rockville Centre, NY 11570-3701
Phone (212) 803-3339
225 E 70TH St
Suite 1E
New York, NY 10021-5213
Phone (212) 803-3339
49 Veronica Ave
Suite 202
Somerset, NJ 08873-6802
Phone (212) 803-3339
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00600700 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Medical Care PC | Adult Health | Current | Accepting new patients |
| Rejuveinate LLC | Current | Accepting new patients | |
| Ambulnz Co, LLC | Current | Accepting new patients | |
| Fuse Medical PLLC | Current | Accepting new patients | |
| Heart and Heart Rhythm Care, P.C. | Past | Accepting new patients | |
| Fara Stricker Family Health Nurse Practitioner, P.C. | Past | Accepting new patients |
Locations
127 Church Rd
Ste 600
Marlton, NJ 08053
Phone (856) 355-8582
49 Veronica Ave
Ste 202
Somerset, NJ 08873
Phone (732) 246-7600
175 Memorial Hwy
Ste 1-1
New Rochelle, NY 10801
Phone (914) 235-3535
225 E 70th St
Ste 1E
New York, NY 10021
Phone (212) 517-4660
30 Broad St
Ste 401
New York, NY 10004
Phone (212) 987-0100
115 Central Park W
Ofc 15
New York, NY 10023
120 E 56th St
Rm 300
New York, NY 10022
Phone (212) 920-3047
265 Sunrise Hwy
Ste 1274
Rockville Ctr, NY 11570
165 N Village Ave
Ste 133
Rockville Ctr, NY 11570
Phone (516) 764-0879
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1750898565
Adult Health, NJ
-
- Vascular & Interventional Radiology Physician
- Somerset, NJ
- NPI 1396347712
-
- Infusion Therapy Clinic/Center
- New Rochelle, NY
- NPI 1104549716
-
- Ambulance
- Colorado Springs, CO
- NPI 1407353642
-
- Infusion Therapy Clinic/Center
- Rockville Centre, NY
- NPI 1669162970
-
- Clinical Cardiac Electrophysiology Physician
- New York, NY
- NPI 1821647397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1881050458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 PREAKNESS AVE",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702533",
"telephone_number": "973-452-4674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 PREAKNESS AVE",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702533",
"telephone_number": "973-452-4674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERS",
"first_name": "ANDREA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-12",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00600700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.