Individual provider Active NPI

Jorge V Alvarado-Rivera, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1902831175
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
238007-2 Issued in NY
Practice address
609 W 188TH St
Suite GFW
New York, NY 10040-4246
Phone
(212) 544-0440
Fax
(212) 544-0505
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 238007-2 NY Primary

Addresses

Primary practice location

609 W 188TH St
Suite GFW
New York, NY 10040-4246

Mailing address

609 W 188TH St
Suite GFW
New York, NY 10040-4246
Phone (212) 544-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060309000221 NY Practitioner - Internal Medicine 4587627997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

609 W 188TH St GFW
New York, NY 10040-4249
Phone (212) 544-0440

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238007-2NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heights Physicians Group, PC Internal Medicine Current Accepting new patients
Heights Physicians Group, P.C. Internal Medicine CurrentSince Dec 1, 2006 Accepting new patients

Locations

3743 91st St
Jackson Heights, NY 11372
Phone (718) 565-5554

3743 91st St
#1
Jackson Heights, NY 11372

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1902831175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W 188TH ST",
            "address_2": "SUITE GFW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100404246",
            "telephone_number": "212-544-0440",
            "fax_number": "212-544-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W 188TH ST",
            "address_2": "SUITE GFW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100404246",
            "telephone_number": "212-544-0440",
            "fax_number": "212-544-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO-RIVERA",
        "first_name": "JORGE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "238007-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.