Individual provider Active NPI

Raymond J Rivera, PA

  • Physician Assistant
  • Center Valley, PA
National Provider Identifier
1982855508
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA053618 Issued in PA
Practice address
3477 Corporate Pkwy Ste 100
Center Valley, PA 18034-8237
Phone
(484) 626-0480
Fax
(484) 896-9002
NPI assigned
Oct 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA053618 PA Primary

Addresses

Primary practice location

3477 Corporate Pkwy Ste 100
Center Valley, PA 18034-8237

Mailing address

1 E Broad St Ste 130
Bethlehem, PA 18018-5934
Phone (484) 626-0480

Other practice location 1

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-2228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081020000557 PA Practitioner - Physician Assistant 6204994205 Reassigns benefits to 8 organizations
I20170306001263 NJ Practitioner - Physician Assistant 6204994205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

4311 Easton Ave
Bethlehem, PA 18020-1431
Phone (610) 954-3600

4379 Easton Ave
101 Family Prac Palmer
Bethlehem, PA 18020-1431
Phone (610) 814-2424

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA053618PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona CurrentSince Jun 7, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jan 5, 2015 Accepting new patients
Upmc Bedford Memorial CurrentSince Dec 1, 2023 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jan 5, 2015 Accepting new patients
Upmc Altoona CurrentSince Jun 7, 2024 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Oct 7, 2022 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Dec 24, 2016 Accepting new patients
Lehigh Valley Physician Group CurrentSince Feb 24, 2014 Accepting new patients
Lehigh Valley Physician Group CurrentSince Feb 24, 2014 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Dec 24, 2016 Accepting new patients
Upmc Bedford Memorial CurrentSince Dec 1, 2023 Accepting new patients
Albert Gallatin Home Care and Hospice Services, LLC Past Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

755 Memorial Pkwy
Ste 302
Phillipsburg, NJ 08865
Phone (908) 847-6722

200 Strykers Rd
Phillipsburg, NJ 08865
Phone (908) 847-1035

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

1240 S Cedar Crest Blvd
Ste 308
Allentown, PA 18103
Phone (610) 402-1175

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550

701 Ostrum St
Ste 201
Fountain Hill, PA 18015
Phone (610) 868-1014

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

500 St Lukes Dr
Lehighton, PA 18235
Phone (484) 464-4340

2 Gracedale Ave
Nazareth, PA 18064
Phone (610) 746-1900

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

3000 St Lukes Dr
Quakertown, PA 18951
Phone (215) 538-4500

Interoperability endpoints

  • Direct secure messaging: raymond.rivera@slpg.direct-sluhn.org

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1982855508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E BROAD ST STE 130",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185934",
            "telephone_number": "484-626-0480",
            "fax_number": "484-896-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3477 CORPORATE PKWY STE 100",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348237",
            "telephone_number": "484-626-0480",
            "fax_number": "484-896-9002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Ostrum St",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180151000",
            "country_code": "US",
            "telephone_number": "484-526-2228",
            "fax_number": "484-526-6674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "RAYMOND",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-01",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.