RIVERSIDE PEDIATRIC GROUP, PC (NPI# 1861930604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861930604 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PEDIATRIC GROUP, PC |
| Other Organization Name | RIVERSIDE MEDICAL GROUP |
| Practice Address |
228 Franklin Ave Nutley NJ 07110-4700 |
| Mailing Address |
38 Meadowlands Pkwy Secaucus NJ 07094-2925 |
| Practice Telephone | 9735428740 |
| Practice Fax Number | 9735422523 |
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
228 FRANKLIN AVE |
| City | NUTLEY |
| State | NJ |
| Zip Code | 07110-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548252067 | Richard W. Marcus | Pediatrics | 228 Franklin Ave, Nutley, NJ 07110-4700 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304984 | Nutley Vision LLC | Optometrist | 214 N Franklin Avenue, Nutley, NJ 07110 | 2019-09-06 |
| 1548762073 | Michal Milow Divney | Social Worker | 340 Kingsland St Bldg 123, Nutley, NJ 07110 | 2018-02-28 |
| 1144743162 | Erin Doyle Theodorou | Counselor | 29 Faber Pl, Nutley, NJ 07110 | 2017-07-21 |
| 1134642671 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 150 Kingsland St, Nutley, NJ 07110 | 2017-07-17 |
| 1851811764 | Janet Joke Bamgbade | Social Worker | 21 River Road, Apt. J, Nutley, NJ 07110 | 2017-06-21 |
| 1588190656 | Nutley Vision | Eyewear Supplier (Equipment, not the service) | 214 Franklin Ave., Nutley, NJ 07110 | 2017-05-10 |
| 1043662596 | Angela Furnari-romano | Social Worker | 596 Franklin Ave, Nutley, NJ 07110 | 2016-07-08 |
| 1659720381 | Nutley Adult Day Care Inc | Clinic/Center | 357-361 Harrison St, 1st Floor, Nutley, NJ 07110 | 2016-06-03 |
| 1881055937 | Roman Rubin | Community/Behavioral Health | 263 Hillside Address, 5, Nutley, NJ 07110 | 2016-03-17 |
| 1275937922 | Victoria L Beckerman | Social Worker | 405 Centre St, Nutley, NJ 07110 | 2014-10-09 |
| Find all providers in zip 07110 | ||||
| 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 |
|---|---|---|---|---|
| 1487803102 | Nj Ortho Bracing, LLC | Durable Medical Equipment & Medical Supplies | 17 White Ter, Nutley, NJ 07110-1939 | 2008-09-18 |
| 1093807711 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 213 Harrison St # 217, Nutley, NJ 07110-2637 | 2006-09-29 |
| 1477662815 | Rite Aid of New Jersey Inc | Durable Medical Equipment & Medical Supplies | 100 Franklin Avenue, Nutley, NJ 07110-3266 | 2006-08-30 |
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|---|---|---|---|---|
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| 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 | ||||
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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.