LAURICE JOYCE RIVERA


Address: 180 Melrose Ave, Bergenfield, NJ 07621-3428
Phone: 2016473428

LAURICE JOYCE RIVERA (NPI# 1639568397) 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) 1639568397
Entity Type Individual
Full Name LAURICE JOYCE RIVERA
Credential N.P.
Practice Address 180 Melrose Ave
Bergenfield
NJ 07621-3428
Practice Telephone 2016473428
Enumeration Date 2015-01-20
Last Update Date 2015-01-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WN0002X Registered Nurse
Specialization: Neonatal Intensive Care
603426 NY Nursing Service Providers
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
350372 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 180 MELROSE AVE
City BERGENFIELD
State NJ
Zip Code 07621-3428

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Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

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1023131554 Cynthia Jean Kelley Nurse Practitioner 44 Holly Ln, Pilesgrove, NJ 08098-2414 2007-04-09
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Competitor

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City BERGENFIELD
Zip Code 07621

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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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