MR. EDWIN FERNANDO RIVERA SR.


Address: 560 1st Ave, Tisch Room 1798, New York, NY 10016-6402
Phone: 2122635430

MR. EDWIN FERNANDO RIVERA SR. (NPI# 1316184427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316184427
Entity Type Individual
Full Name MR. EDWIN FERNANDO RIVERA SR.
Credential RPA
Practice Address 560 1st Ave
Tisch Room 1798
New York
NY 10016-6402
Practice Telephone 2122635430
Mailing Telephone 2122635430
Enumeration Date 2009-01-12
Last Update Date 2009-01-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
000778-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY DEA NUMBER MR1822229 01

Other Providers EDWIN RIVERA

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1518591114 Edwin Rivera Pharmacist Ext Forest Hills, D-32, Bayamon, PR 00956 2020-02-24
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1285913780 Edwin Rivera Counselor 4427 Willow Pond Road, West Palm Beach, FL 33417 2011-08-15
1871778365 Edwin Ivan Rivera Counselor 6501 Van Nuys Blvd Ste 103, Van Nuys, CA 91401 2008-01-03
1679756480 Edwin Rivera Optometrist Street Georgetti #77, Comerio, PR 00782 2007-12-14
1669411211 Edwin Ariel Rivera General Practice J19 Calle Isla Verde, Urb. Eduardo J. Saldana, Carolina, PR 00983-1824 2006-06-06
1841414851 Edwin Rivera Social Worker 10 Bridge St, The Simpson Block, Lowell, MA 01852-1201 2007-04-12
1396832135 Edwin S Rivera Social Worker 20 Mitchell Ave, Binghamton, NY 13903 2006-10-05
1174539134 Edwin Rivera Radiology 1000 W Moreno St, Pensacola, FL 32501-2316 2006-07-31
1861474033 Edwin Rivera Physician Assistant 4647 Zion Ave, San Diego, CA 92120-2507 2005-11-15

Office Location

Street Address 560 1ST AVE
TISCH ROOM 1798
City NEW YORK
State NY
Zip Code 10016-6402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922007665 Ruliang Xu Pathology 560 1st Ave, Department of Pathology, Nyu Langone Medical Center, New York, NY 10016-6402 2005-07-15
1972159499 Sophia Donata Scott Nurse Practitioner 560 1st Ave, New York, NY 10016-6402 2019-08-12
1255828133 Guerdelyne Augustin Nurse Practitioner 560 1st Ave, New York, NY 10016-6402 2018-04-17
1710483540 Shannon Brackett Nurse Practitioner 560 1st Ave, New York, NY 10016-6402 2018-04-02
1922513829 Meliza Ruth Weir Nurse Practitioner 560 1st Ave, New York, NY 10016-6402 2017-12-13
1306357504 Hillary Eastman Social Worker 560 1st Ave, New York, NY 10016-6402 2017-10-16
1467998724 Margaret Drysielski Nurse Practitioner 560 1st Ave, New York, NY 10016-6402 2017-01-11
1023552643 Svetlana Pavlovna Buynitsky Nurse Practitioner 560 1st Ave, New York, NY 10016-6402 2016-12-16
1770032864 Laura Diaz Nurse Practitioner 560 1st Ave, New York, NY 10016-6402 2016-09-29
1902350671 Lior Jankelson Internal Medicine 560 1st Ave, Cardiac Ep Lab, New York, NY 10016 2016-08-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033719216 Vanessa Tee-ting Ng Student in an Organized Health Care Education/Training Program 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 2020-10-28
1972118206 Trisha Aloquina Nurse Practitioner 106 East 32nd St, 102, New York, NY 10016 2020-09-14
1912519950 Lionel Thompson Jr. Social Worker Bellevue Hospital Center Child & Adolescent Psychiatry, 462 First Avenue Administration Bldg. 2nd Fl., New York, NY 10016 2020-08-20
1134755622 Samantha Caldona Behavior Technician 205 East 35 Street, New York, NY 10016 2020-03-17
1104477504 Jaclyn A. Silverman Nurse Practitioner 113 East 39th Street, New York, NY 10016 2019-09-26
1093376147 Eskue Therapy, LLC Massage Therapist 130 East 40 Street, Ste. 1001, New York, NY 10016 2019-06-27
1952962227 Richard Callado Nurse Practitioner 245 5th Ave Ste 336, New York, NY 10016 2019-06-26
1265096754 Sharon Brenda Madanes Student in an Organized Health Care Education/Training Program Nyu Langone, 550 First Ave., New York, NY 10016 2019-04-30
1124589569 Krupali Chokshi Student in an Organized Health Care Education/Training Program Nyu Langone Hospital, 550 First Ave., New York, NY 10016 2019-03-28
1982160909 Sherell Miriam Harding Behavioral Analyst 204 35th St, New York, NY 10016 2019-02-14
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

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1659929123 Jacob Mark Czajka Physician Assistant 130 E 77th St Fl Hall11, New York, NY 10075-1851 2019-08-28
1033766860 Deena Rothman Physician Assistant 1090 Amsterdam Ave Ste 10a, New York, NY 10025-1737 2019-08-26
1730698747 Nolle L Graham Physician Assistant East 101 Street, New York, NY 10029 2017-09-21
1629594494 Emma Ungureanu Physician Assistant 1790 Broadway/ 5 Columbus Circle, Fl 8, New York, NY 10019-1412 2017-08-14
1881117141 Kaitlin Anne Tergesen Physician Assistant 3959 Broadway # Chn216, New York, NY 10032-1559 2017-07-19
1356879217 Andreina Armas Physician Assistant E 101st Street, Mount Sinai, New York, NY 10029 2017-05-23
1093189870 Amanda Londino Physician Assistant 568 Park Avenue, New York, NY 10068 2015-11-17
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Competitor

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City NEW YORK
Zip Code 10016

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Dataset Information

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.

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