MR. EDWARD RIVERA


Address: 458 Grand Ave., Suite 103, New Haven, CT 06513
Phone: 2037521212

MR. EDWARD RIVERA (NPI# 1366906141) 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) 1366906141
Entity Type Individual
Full Name MR. EDWARD RIVERA
Practice Address 458 Grand Ave.
Suite 103
New Haven
CT 06513
Mailing Address 305 Fox Hill Rd
Stratford
CT 06614-1812
Practice Telephone 2037521212
Mailing Telephone 2037270252
Enumeration Date 2019-01-25
Last Update Date 2019-01-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers EDWARD RIVERA

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1144795287 Edward Rivera Counselor 1680 N Fair Oaks Ave, Pasadena, CA 91103-1642 2018-10-04
1699284422 Edward Rivera Counselor 3 Commercial Pl, Newburgh, NY 12550-5306 2017-09-25
1023484557 Edward Manuel Rivera Social Worker 1901 E 4th St Ste 312, Santa Ana, CA 92705-3918 2015-08-19
1982839908 Edward Rivera Counselor 77 Mohouli St, Hilo, HI 96720-4181 2009-05-19
1134389448 Edward Louis Rivera Counselor 2625 Zanker Rd, Ste. 200, San Jose, CA 95134-2130 2008-06-10
1578777439 Edward Rivera Internal Medicine 218a Sunset Rd, Willingboro, NJ 08046-1110 2007-05-10
1184710535 Edward Philip Rivera Psychiatry & Neurology 242 Green St, Gardner, MA 01440-1336 2006-10-05

Office Location

Street Address 458 GRAND AVE.
SUITE 103
City NEW HAVEN
State CT
Zip Code 06513

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134698442 Village of Angels Home Health Care LLC Respite Care 470 James Street, Suite 007, New Haven, CT 06513 2018-11-15
1609358068 Sarah Khalil Pharmacist 745 Foxon Road, East Haven, CT 06513 2018-09-02
1912358375 Domanice Poindexter Nurse Practitioner Caremore Health, 444 Foxon Rd, East Haven, CT 06513 2016-06-28
1568839876 My Fair Haven Pharmacy LLC Durable Medical Equipment & Medical Supplies 72 Grand Ave, New Haven, CT 06513 2015-08-24
1871979567 Sankofa Counseling LLC Community/Behavioral Health 64 Thompson St Ste A101, East Haven, CT 06513 2015-08-04
1578967287 Curtis Stewart Pharmacy Technician 661 Thompson Street, East Haven, CT 06513 2014-10-09
1548686322 Davis Group LLC Social Worker 30 Grand Ave, New Haven, CT 06513 2014-03-17
1124459615 James Lucas IIi Dietitian, Registered 167 Old Foxon Road, Unit 30b, New Haven, CT 06513 2013-12-09
1609206135 Spretha Kadavath Dentist 50 Grand Ave, New Haven, CT 06513 2013-11-19
1992134878 Joon Lee Occupational Therapist 918 Quinnipiac Ave #2, New Haven, CT 06513 2013-11-01
Find all providers in zip 06513

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538795299 Kathy Diane Mcguire Case Manager/Care Coordinator 903 4th Street, New Haven, WV 25261 2020-03-13
1942774666 Jeannie Vargas Case Manager/Care Coordinator 458 Grand Ave Ste 104, New Haven, CT 06513-3856 2019-01-15
1629690193 Dena Renee Rodriguez Case Manager/Care Coordinator 458 Grand Ave, New Haven, CT 06513-3856 2020-05-07
1386207322 Talia Vazquez Case Manager/Care Coordinator 458 Grand Ave, New Haven, CT 06513-3856 2019-04-16
1720551716 Terrance Moore Case Manager/Care Coordinator 458 Grand Ave, New Haven, CT 06513-3856 2019-01-02
1003388489 Latoya Moore Case Manager/Care Coordinator 458 Grand Ave, New Haven, CT 06513-3856 2018-12-21
1497111710 Emergengency Shelter Management Services Case Manager/Care Coordinator 645 Grand Ave, New Haven, CT 06511-5011 2016-01-04
1942689179 Alexandra Castillo Case Manager/Care Coordinator 458 Grand Ave, New Haven, CT 06513-3856 2015-05-20
1649568122 Aissa Dineen Williams Case Manager/Care Coordinator 93 Edwards St, New Haven, CT 06511-3933 2011-07-18
1821300310 Toni N. Harp Case Manager/Care Coordinator 428 Columbus Ave, New Haven, CT 06519-1233 2010-07-13
Find all providers in NEW HAVEN

Competitor

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City NEW HAVEN
Zip Code 06513

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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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