Juan Angel Leonidas Rivolta, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

292297 Issued in NY

Practice address

411 Theodore Fremd Ave
Suite 206 South
Rye, NY 10580-1411

Phone

(917) 685-2419

Fax

(917) 905-1993

NPI assigned

Apr 30, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Community Assistance Resources & Extended Services Inc

  • Case Management Agency
  • New York, NY
  • NPI 1396049987
  Medicare reassignment NPD
• Westchester Medical Center Advanced Physician Services, PC

  • Surgery Physician
  • Valhalla, NY
  • NPI 1912131392
  Medicare reassignment NPD
• Westchester Medical Center Advanced Physician Services PC

  • Anesthesiology Physician
  • Valhalla, NY
  • NPI 1740687458
  NPD

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749945600000",
    "number": "1982014833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 HOWELL AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383249",
            "telephone_number": "917-685-2419",
            "fax_number": "917-905-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 THEODORE FREMD AVE",
            "address_2": "SUITE 206 SOUTH",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105801411",
            "telephone_number": "917-685-2419",
            "fax_number": "917-905-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVOLTA",
        "first_name": "JUAN",
        "middle_name": "ANGEL LEONIDAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2025-06-15",
        "certification_date": "2025-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "292297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982014833",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "292297",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Healey Rice
• Richard D Milone, M.D., P.C.
• Janusz R Richards, DC
• Jane W Riley, PT DPT MS PCS
• Jennifer M Ringwald, OTR/L
• Robert Latkany MD PC
• Rockwell Compounding Associates, Inc.
• Rockwell Compounding Associtaes, Inc.
• Virginia Rodriguez Perlado
• Beverly Roland Rowe, RN

• Psychiatry Physician in Rye, NY
• Providers in Rye, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.