RIVERSIDE PEDIATRIC GROUP, PC (NPI# 1225576069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225576069 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PEDIATRIC GROUP, PC |
| Other Organization Name | RIVERSIDE MEDICAL GROUP |
| Practice Address |
1111 Hudson St Hoboken NJ 07030-5305 |
| Mailing Address |
38 Meadowlands Pkwy Secaucus NJ 07094-2925 |
| Practice Telephone | 2019429314 |
| Practice Fax Number | 2019429315 |
| Mailing Telephone | 5512577038 |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-15 |
| Authorized Official Name | ZEYAD BAKER (PRINCIPAL) |
| Authorized Official Telephone | 5512577038 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Riverside Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770021511 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 2761 John F Kennedy Blvd, Jersey City, NJ 07306-5515 | 2017-02-01 |
| 1689112427 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 939 John F. Kennedy Boulevard, North Bergen, NJ 07047 | 2017-02-01 |
| 1841737053 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 6045 John F. Kennedy Boulevard, North Bergen, NJ 07047 | 2017-01-25 |
| 1902379977 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 1 Maywood Ave, Maywood, NJ 07607-1001 | 2019-01-02 |
| 1437658150 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 6506 Park Ave, West New York, NJ 07093-4302 | 2018-02-08 |
| 1487193454 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 625 Main Ave, Second Fl, Passaic, NJ 07055-4952 | 2017-02-23 |
| 1861930604 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 228 Franklin Ave, Nutley, NJ 07110-4700 | 2017-02-01 |
| 1952849796 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 324 Palisade Ave, 2nd Fl, Jersey City, NJ 07307-1791 | 2017-02-01 |
| 1316485162 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 255 Route 3, Secaucus, NJ 07094-3857 | 2017-02-01 |
| 1225576077 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 540 37th St, Union City, NJ 07087-2545 | 2017-02-01 |
| Street Address |
1111 HUDSON ST |
| City | HOBOKEN |
| State | NJ |
| Zip Code | 07030-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359071 | Silvia Ramirez Quiroz | Social Worker | 63a Eighth Street, Ground Floor, Hoboken, NJ 07030 | 2020-09-01 |
| 1629600176 | Robin Shamburg | Counselor | 5 Church Towers, Apt 8a, Hoboken, NJ 07030 | 2020-02-12 |
| 1083254809 | Rohan Chabra | Pharmacist | 101-105 Washington Street, Hoboken, NJ 07030 | 2020-01-09 |
| 1659921047 | Ashley Papa | Social Worker | 63rd 8th Street, Hoboken, NJ 07030 | 2019-09-17 |
| 1538621305 | Prohealth Riverside Dental, LLC | Dentist | 1425 Bloomfield Street, Hoboken, NJ 07030 | 2019-04-02 |
| 1639634470 | Progressive Option Support Services | Behavioral Analyst | 221 River Street 9th Floor, Hoboken, NJ 07030 | 2019-02-06 |
| 1164995189 | Luisa Fernanda Alzate Cobo | Occupational Therapy Assistant | 15 Church Towers, 5g, Hoboken, NJ 07030 | 2019-01-03 |
| 1588147821 | Melissa Ann Ronga | Social Worker | Mary Eliza Mahoney Health Center-394 University Ave., Newark, NJ 07030 | 2018-09-12 |
| 1578040952 | Kerry R Pitter | Psychologist | 221 River Street, 9th Floor, Hoboken, NJ 07030 | 2018-07-27 |
| 1265949416 | Ariel Mayer | Acupuncturist | 51 Newark Street, 203, Hoboken, NJ 07030 | 2018-01-09 |
| Find all providers in zip 07030 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184149833 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1320 Shipyard Ln # 3 #4, Hoboken, NJ 07030-5582 | 2017-08-03 |
| 1427382266 | Hoboken Drugs | Durable Medical Equipment & Medical Supplies | 307 1st St, Hoboken, NJ 07030-2431 | 2009-09-27 |
| 1801919907 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 210 14th St, Hoboken, NJ 07030-4441 | 2007-04-06 |
| 1598859902 | Baron Drug Co of Hoboken Inc | Durable Medical Equipment & Medical Supplies | 416 Washington St, Hoboken, NJ 07030-4896 | 2006-10-03 |
| 1013026459 | Rite Aid of New Jersey Inc | Durable Medical Equipment & Medical Supplies | 1300 Willow Avenue, Hoboken, NJ 07030-3308 | 2006-08-30 |
| 1295845972 | Rite Aid of New Jersey Inc | Durable Medical Equipment & Medical Supplies | 1320 Shipyard Lane, #3-4, Hoboken, NJ 07030-5582 | 2006-08-30 |
| 1659897254 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1300 Willow Ave, Hoboken, NJ 07030-3308 | 2017-08-16 |
| 1821455726 | Innovative Solutions | Durable Medical Equipment & Medical Supplies | 1107 Washington St, Unit 2, Hoboken, NJ 07030-5384 | 2016-01-22 |
| 1881015717 | Willow Ave Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 308 Willow Ave, Hoboken, NJ 07030 | 2013-12-19 |
| 1194043752 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 101 Washington St, Hoboken, NJ 07030 | 2010-05-06 |
| Find all providers in HOBOKEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.