RIVERSIDE PEDIATRIC GROUP, PC (NPI# 1841737053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841737053 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PEDIATRIC GROUP, PC |
| Other Organization Name | RIVERSIDE MEDICAL GROUP |
| Practice Address |
6045 John F. Kennedy Boulevard North Bergen NJ 07047 |
| Mailing Address |
38 Meadowlands Pkwy Secaucus NJ 07094-2925 |
| Practice Telephone | 2017762571 |
| Practice Fax Number | 2018610941 |
| Mailing Telephone | 5512577038 |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-02-17 |
| 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 |
|---|---|---|---|---|
| 1225576069 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 1111 Hudson St, Hoboken, NJ 07030-5305 | 2017-02-01 |
| 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 |
| 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 |
6045 JOHN F. KENNEDY BOULEVARD |
| City | NORTH BERGEN |
| State | NJ |
| Zip Code | 07047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1639799646 | Red Oak Pharmacy Corp | Pharmacy | 9225 John F Kennedy Blvd, Unit F, North Bergen, NJ 07047 | 2020-04-20 |
| 1811520091 | Andres A Varilias | Pharmacist | 7917 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-02-17 |
| 1669016986 | Rebecca Lee | Dentist | 3123 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2019-10-30 |
| 1720648439 | Hannah Joy Guharajan | Speech-Language Pathologist | 5665 John F. Kennedy Blvd, Apt. 508, North Bergen, NJ 07047 | 2019-06-14 |
| 1417417080 | Chandini Sajja | Student in an Organized Health Care Education/Training Program | 7600 River Road, North Bergen, NJ 07047 | 2019-03-20 |
| 1215455522 | Xavier Steven Alzate | Specialist/Technologist | 338 75th Street, 2b, North Bergen, NJ 07047 | 2017-09-07 |
| 1962923151 | Hala Altunji | Dentist | 8407 Jfk Blvd E, North Bergen, NJ 07047 | 2017-06-28 |
| 1871023457 | Diego Nieto | Specialist | 6112 Durham Ave, North Bergen, NJ 07047 | 2017-06-15 |
| 1326578105 | Hudson Hills Senior Living, LLC | Nursing Care | 3505 Bergen Tpke, North Bergen, NJ 07047 | 2017-06-14 |
| Find all providers in zip 07047 | ||||
| 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 |
|---|---|---|---|---|
| 1689112427 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 939 John F. Kennedy Boulevard, North Bergen, NJ 07047 | 2017-02-01 |
| 1740532316 | Walgreen Co . | Durable Medical Equipment & Medical Supplies | 7401 River Rd, North Bergen, NJ 07047 | 2012-10-08 |
| 1013244961 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2100 88th St, North Bergen, NJ 07047-4709 | 2009-11-13 |
| 1881787729 | St. Joseph's Pharmacy | Durable Medical Equipment & Medical Supplies | 7917 Kennedy Blvd, North Bergen, NJ 07047-4137 | 2006-10-02 |
| 1245252865 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7101 Tonnelle Ave, North Bergen, NJ 07047-4507 | 2006-07-24 |
| 1336164995 | Food Basics Inc | Durable Medical Equipment & Medical Supplies | 1417 Kennedy Blvd # 27, North Bergen, NJ 07047-6307 | 2006-07-13 |
| 1639503121 | Amasol Medical Equipment & Supply LLC | Durable Medical Equipment & Medical Supplies | 7855 Boulevard E, # 28i, North Bergen, NJ 07047-5938 | 2013-09-03 |
| 1750646873 | Bce Industries Inc | Durable Medical Equipment & Medical Supplies | 7855 Boulevard E, 22g, North Bergen, NJ 07047-5938 | 2012-07-05 |
| 1093948028 | Usv Optical Inc. | Durable Medical Equipment & Medical Supplies | 2100 88th St, North Bergen, NJ 07047 | 2009-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184111 | Dentistry With A Smile, Inc. | Durable Medical Equipment & Medical Supplies | 1100 Town Center Way, 14-a-ii, Livingston, NJ 07039 | 2020-11-03 |
| 1790383677 | Lakshmi Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 630 Central Ave, East Orange, NJ 07018-1403 | 2020-10-13 |
| 1821695768 | Tristate Dme LLC | Durable Medical Equipment & Medical Supplies | 412 Piermont Rd, Demarest, NJ 07627-2421 | 2020-10-05 |
| 1750998365 | Rhino Med LLC | Durable Medical Equipment & Medical Supplies | 21 E Front St Ste 240, Red Bank, NJ 07701-1874 | 2020-09-28 |
| 1386259067 | First Wellness Inc | Durable Medical Equipment & Medical Supplies | 1327 Falston Cir, Old Bridge, NJ 08857-3617 | 2020-09-10 |
| 1528672920 | Shaunelle Renaud | Durable Medical Equipment & Medical Supplies | 478 Sycamore St, Rahway, NJ 07065 | 2020-09-02 |
| 1003429812 | Therafit Enterprises of New Jersey Incorporated | Durable Medical Equipment & Medical Supplies | 1275 Hwy 35 Ste 7, Middletown, NJ 07748-2000 | 2020-08-31 |
| 1144833955 | Dedicated Medical Providers LLC | Durable Medical Equipment & Medical Supplies | 55 Walnut St Ste 204, Norwood, NJ 07648-1332 | 2020-08-31 |
| 1770196909 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 Holly Dell Dr Ste P, Sewell, NJ 08080-9318 | 2020-08-27 |
| 1972114437 | New Jersery Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18-40 Goldsborough Drive, Bayonne, NJ 07002 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BERGEN |
| Zip Code | 07047 |
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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.