MARCUS RICHARD RIVERA (NPI# 1891993218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891993218 |
| Entity Type | Individual |
| Full Name | MARCUS RICHARD RIVERA |
| Credential | MD |
| Practice Address |
725 Irving Ave Crouse Pob Ste. 805 Syracuse NY 13210-1603 |
| Practice Telephone | 3154648444 |
| Practice Fax Number | 3154648445 |
| Mailing Telephone | 3154648444 |
| Mailing Fax Number | 3154648445 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2010-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
255782 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02888902 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144793589 | Marcus Anthony Rivera | Behavior Technician | 400 29th St Ste 204, Oakland, CA 94609-3547 | 2019-01-08 |
| Street Address |
725 IRVING AVE CROUSE POB STE. 805 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321826 | Glenda J Hungerford | Nurse Anesthetist, Certified Registered | 725 Irving Ave, Suite 402, Syracuse, NY 13210 | 2005-07-26 |
| 1659937456 | Stephanie Locicero | Physician Assistant | 725 Irving Ave, Syracuse, NY 13210-1603 | 2019-05-16 |
| 1023526522 | John Stepan Pototsky | Nurse Anesthetist, Certified Registered | 725 Irving Ave, Syracuse, NY 13210-1603 | 2018-01-18 |
| 1891205043 | Quentin Lawrence Archer | Physician Assistant | 725 Irving Ave, Syracuse, NY 13210-1603 | 2017-10-02 |
| 1316390834 | Julie Albanese | Nurse Practitioner | 725 Irving Ave, Suite 504, Syracuse, NY 13210-1603 | 2016-07-20 |
| 1679928311 | Jo-anne Furcinito | Nurse Practitioner | 725 Irving Ave, Syracuse, NY 13210-1603 | 2016-05-02 |
| 1811384639 | Jacqlene Nicholle Tillmes | Dietitian, Registered | 725 Irving Ave, Suite 504, Syracuse, NY 13210-1603 | 2015-04-20 |
| 1760874150 | Stacey L Messe | Dietitian, Registered | 725 Irving Ave, Suite 504, Syracuse, NY 13210-1603 | 2015-02-23 |
| 1376946715 | Cheryl Palmer | Counselor | 725 Irving Ave, Suite 302, Syracuse, NY 13210-1603 | 2014-09-30 |
| 1396163465 | Caroline Burns Stroup | Obstetrics & Gynecology | 725 Irving Ave, Suite 600, Syracuse, NY 13210 | 2014-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
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| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922386994 | Aamer Imdad | Pediatrics | 725 Irving Ave Suite 504, Syracuse, NY 13210 | 2011-07-25 |
| 1972775286 | Prateek Dhar Wali | Pediatrics | 725 Irving Ave, Crouse Pob Ste 805, Syracuse, NY 13210-1603 | 2008-03-26 |
| 1255351334 | Mirza Bedar Bakht Beg | Pediatrics | 725 Irving Ave, Crouse Pob Ste 805, Syracuse, NY 13210-1603 | 2006-07-20 |
| 1639102296 | Manoochehr Karjoo | Pediatrics | 725 Irving Ave, Crouse Pob Ste. 805, Syracuse, NY 13210-1603 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346710977 | Ari J Bergwerk | Pediatrics | Apt #4b 305 Riverside Drive, New York, NY 10025 | 2018-11-27 |
| 1306227525 | Karine Amirikian | Pediatrics | 3415 Bainbridge Ave Fl 7, Bronx, NY 10467 | 2015-06-12 |
| 1407198120 | Elizabeth Anne Nofi Berg | Pediatrics | 622 W 168th St Ph 17, New York, NY 10032-3720 | 2013-03-20 |
| 1316289093 | Anastasia Rigas | Pediatrics | 18 Blueberry Ridge Rd, Setauket, NY 11733-1504 | 2013-03-20 |
| 1366700874 | Dominique Drummond Bailey | Pediatrics | 630 W. 168th Street - Chn 517, Columbia University Medical Center, New York, NY 10032 | 2012-05-03 |
| 1235404559 | Judy Rose Dayan | Pediatrics | 990 E 22nd St, Brooklyn, NY 11210-3610 | 2012-03-20 |
| 1982908786 | Eileen Mcvey | Pediatrics | 503 Grasslands Rd Ste 201, Valhalla, NY 10595-1593 | 2011-01-07 |
| 1649404260 | Colleen Ann Nugent | Pediatrics | 239 Bryant Str, Women and Children's Hospital of Buffalo, Buffalo, NY 14222 | 2009-05-11 |
| 1457546582 | Babu S Bangaru | Pediatrics | 9422 59th Ave, Elmhurst, NY 11373-5151 | 2007-09-12 |
| 1841499092 | Nikki Allmendinger | Pediatrics | 47 New Scotland Ave # Mc88, Albany Medical Center - The Children's Hospital, Albany, NY 12208-3412 | 2007-07-17 |
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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.