DR. CARLOS J. RIVERA (NPI# 1881652105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881652105 |
| Entity Type | Individual |
| Full Name | DR. CARLOS J. RIVERA |
| Credential | M.D. |
| Practice Address |
122 W Roe Blvd Patchogue NY 11772-2569 |
| Mailing Address |
8 Georgann Rd Manorville NY 11949-3223 |
| Practice Telephone | 6315046261 |
| Practice Fax Number | 6315046263 |
| Mailing Telephone | 6315046261 |
| Mailing Fax Number | 6315046263 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2009-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 221385 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336785823 | Carlos Jaime Rivera | Occupational Therapy Assistant | 297 Ave Felix Rios, Aibonito, PR 00705-3539 | 2019-11-20 |
| 1972075802 | Carlos Alberto Rivera | Social Worker | 116 Sherman Ave Fl 1rst, New Haven, CT 06511-5204 | 2018-12-17 |
| 1518365063 | Carlos Rivera | Internal Medicine | 1910 Calle Zarina, Ponce, PR 00716-0511 | 2014-12-16 |
| 1902009814 | Carlos Roberto Rivera | Specialist | 99 Calle Mirador, Paseo Alto, San Juan, PR 00926-5919 | 2007-06-07 |
| 1336356559 | Carlos Antonio Rivera | Pharmacy Technician | Urb Nuevo Mameyes, Calle 3 D23, Ponce, PR 00731 | 2007-05-17 |
| 1669694121 | Carlos V. Rivera | Dentist | Carr. 156 Km59.6, Calle Betances Final Edif. Puig Suite#2, Caguas, PR 00725 | 2007-05-03 |
| 1427181338 | Carlos Francis Rivera | Contractor | 65 Infanteria #67, Suite B-201, Anasco, PR 00610-0084 | 2007-03-13 |
| 1376695379 | Carlos J Rivera | Pharmacy Technician | 27 Munoz Rivera, Barranquitas, PR 00794 | 2007-01-18 |
| 1295833689 | Carlos Alberto Rivera | Chiropractor | 3647 Cedar Ave S, Minneapolis, MN 55407-2919 | 2006-09-20 |
| 1992741326 | Carlos Gallegos Rivera | Legal Medicine | 9 Memorial Pkwy, Long Branch, NJ 07740-6701 | 2006-06-22 |
| Street Address |
122 W ROE BLVD |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-2569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184183683 | Transition Wellness | Nurse Practitioner | 122 W Roe Blvd, Patchogue, NY 11772-2569 | 2019-03-14 |
| 1740758382 | Brianna Salvia | Radiology | 122 W Roe Blvd, Patchogue, NY 11772-2569 | 2018-11-12 |
| 1619454139 | Diane Elizabeth Wahne | Nurse Practitioner | 122 W Roe Blvd, Patchogue, NY 11772-2569 | 2018-07-26 |
| 1891298881 | Mpower Counseling | Social Worker | 122 W Roe Blvd, Patchogue, NY 11788 | 2018-03-15 |
| 1467987123 | Begentle Occupational Therapy Pllc | Health Maintenance Organization | 122 W Roe Blvd, Patchogue, NY 11772-2569 | 2017-05-01 |
| 1053862250 | Marie Christine Didonato | Nurse Practitioner | 122 W Roe Blvd, Patchogue, NY 11772-2569 | 2016-10-22 |
| 1740644244 | Begentle Psychotherapy, Np In Psychiatry Pllc | Counselor | 122 W Roe Blvd, Patchogue, NY 11772-2569 | 2016-04-11 |
| 1164804092 | Pierrette M. Begent | Nurse Practitioner | 122 W Roe Blvd, Patchogue, NY 11772-2569 | 2015-06-27 |
| 1710387279 | Amanda J Weston | Nurse Practitioner | 122 W Roe Blvd, Patchogue, NY 11772-2569 | 2014-09-02 |
| 1720314321 | Kristina Marie Begent | Occupational Therapist | 122 W Roe Blvd, Patchogue, NY 11772-2569 | 2009-11-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392357 | Long Island Pediatrics of Patchogue PC | Pediatrics | 475 E Main St Ste 109, Patchogue, NY 11772-3121 | 2020-06-29 |
| 1649289869 | Mei Yuk Kee | Pediatrics | 365 East Main Street, Patchogue, NY 11772 | 2006-08-05 |
| 1710996939 | Mohammad M Rahman | Pediatrics | South Brookhaven Health Center, 365 East Main St, Patchogue, NY 11772 | 2006-08-05 |
| 1962444869 | Cathy Coleman | Pediatrics | 450 Waverly Ave, Patchogue, NY 11772-1555 | 2006-06-12 |
| 1720609035 | Joann Spinnato Pediatric Np Pllc | Pediatrics | 101 Gillette Ave, Patchogue, NY 11772-2514 | 2020-04-28 |
| 1861718751 | Roosje De Grauw-mare | Pediatrics | 450 Waverly Ave, Patchogue, NY 11772-1555 | 2010-04-16 |
| 1710158167 | Robyn Renee Labarca | Pediatrics | 450 Waverly Ave, Patchogue, NY 11772-1555 | 2008-03-13 |
| 1144240524 | Denise Woodall-ruff | Pediatrics | 450 Waverly Ave, Patchogue, NY 11772-1555 | 2006-07-20 |
| 1922066828 | Tulika Narain | Pediatrics | 155 E Woodside Ave, Patchogue, NY 11772-1423 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518577550 | Danielle Vann | Pediatrics | 151 N Washington St # 2s, Sleepy Hollow, NY 10591-3117 | 2020-08-04 |
| 1811510811 | Dr Pediatric PC | Pediatrics | 38 Hopewell Dr, Stony Brook, NY 11790-2339 | 2020-05-26 |
| 1598386864 | Sandra Howard Bonat | Pediatrics | 4 Filomena Ct, Dix Hills, NY 11746-4750 | 2020-04-28 |
| 1497374359 | Medical Health 360 Pllc | Pediatrics | 16955 County Route 59, Dexter, NY 13634-2027 | 2020-04-10 |
| 1922633007 | Danzi & Hajduk-bennett Pediatrics Pllc | Pediatrics | 994 W Jericho Tpke Ste 202, Smithtown, NY 11787-3234 | 2020-03-09 |
| 1396377180 | Chelsea Oberkrieser | Pediatrics | 17 Long Ave Ste 110, Hamburg, NY 14075-6200 | 2020-02-10 |
| 1619508900 | Total Care Pediatrics Pllc | Pediatrics | 4265 Kissena Blvd # L4, Flushing, NY 11355-3273 | 2020-01-27 |
| 1639709157 | Decerina Uy Md PC | Pediatrics | 649 Route 25a Ste 3, Rocky Point, NY 11778-8983 | 2020-01-23 |
| 1447890603 | Opear Holdings, Inc | Pediatrics | 2635 Frances St, Bellmore, NY 11710-5401 | 2020-01-15 |
| 1396384228 | Zvi Eckstein, Md PC | Pediatrics | 1460 Victory Blvd Ste D, Staten Island, NY 10301-3914 | 2019-12-23 |
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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.