RIVERSIDE PEDIATRIC GROUP, PC (NPI# 1952849796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952849796 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PEDIATRIC GROUP, PC |
| Other Organization Name | RIVERSIDE MEDICAL GROUP |
| Practice Address |
324 Palisade Ave 2nd Fl Jersey City NJ 07307-1791 |
| Mailing Address |
38 Meadowlands Pkwy Secaucus NJ 07094-2925 |
| Practice Telephone | 2014798600 |
| Practice Fax Number | 2014798601 |
| 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 |
| 1861930604 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 228 Franklin Ave, Nutley, NJ 07110-4700 | 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 |
324 PALISADE AVE 2ND FL |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07307-1791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124099288 | Shari Fine | Family Medicine | 324 Palisade Ave, 2nd Floor, Jersey City, NJ 07307-1718 | 2006-01-27 |
| 1609180033 | Heather Nicole Lukusa | Nurse Practitioner | 324 Palisade Ave, Jersey City, NJ 07307-1791 | 2010-07-27 |
| 1134374143 | North Hudson Community Action Corporation | Clinic/Center | 324 Palisade Ave, Jersey City, NJ 07307-1718 | 2008-11-19 |
| 1477711695 | Elvira M Rubia-sazon | Pediatrics | 324 Palisade Ave, Jersey City, NJ 07307-1718 | 2008-05-23 |
| 1861679904 | Nagarani Ramasubramaniam | Family Medicine | 324 Palisade Ave, Jersey City, NJ 07307-1791 | 2008-01-30 |
| 1922293307 | Edwin R Garcia | Student in an Organized Health Care Education/Training Program | 324 Palisade Ave, Jersey City, NJ 07307-1718 | 2007-09-10 |
| 1265468243 | Lisa Michelle Jenkins | Pediatrics | 324 Palisade Ave, Jersey City, NJ 07307 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914244 | Anna Manioudakis | Nurse Practitioner | 3540 Kennedy Blvd., Jersey City, NJ 07307 | 2020-08-26 |
| 1497222095 | M.e.t.s. Charter School | Local Education Agency (LEA) | M.e.t.s. Charter School, 211 Sherman Street, Jersey City, NJ 07307 | 2018-11-01 |
| 1255704540 | Caringhouse Projects, Inc | Respite Care | 1089 Summit Avenue, Apt 6, Jersey City, NJ 07307 | 2015-11-09 |
| 1114390739 | Pei Lin, Md | Otolaryngology | 3624 Jfk Blvd, Jersey City, NJ 07307 | 2015-11-04 |
| 1700259330 | Ruju Shah | Physical Therapist | 151 Bleecker St, Apt 6, Jersey City, NJ 07307 | 2015-11-04 |
| 1750780656 | Mariam Marzouk | Psychologist | 224 Bowers Street, Jersey City, NJ 07307 | 2014-08-15 |
| 1063820462 | Briones Family Dental, Inc. | Dentist | 3592 John F. Kennedy Blvd, Jersey City, NJ 07307 | 2014-07-29 |
| 1295159713 | Anukriti Mehta | Pharmacist | 1212 Summit Avenue, Jersey City, NJ 07307 | 2014-02-05 |
| 1033552872 | Diana Lorena Ceron | Marriage & Family Therapist | 147 Columbian Turnpike, Suit 307, Florham Park, NJ 07307 | 2013-04-11 |
| 1104162767 | Khurram Saleem Malik | Internal Medicine | 126 Terrace Ave, Jersey City, NJ 07307 | 2012-12-28 |
| Find all providers in zip 07307 | ||||
| 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 |
|---|---|---|---|---|
| 1770007601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1212 Summit Ave, Jersey City, NJ 07307-3137 | 2017-08-02 |
| 1215451042 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2859 61 Kennedy Blvd, Jersey City, NJ 07306 | 2017-08-02 |
| 1770021511 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 2761 John F Kennedy Blvd, Jersey City, NJ 07306-5515 | 2017-02-01 |
| 1518334440 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 321 State Rt 440, Jersey City, NJ 07305 | 2015-08-26 |
| 1346622503 | Vera Oleynik | Durable Medical Equipment & Medical Supplies | 531 W Side Ave, Jersey City, NJ 07304-1517 | 2015-06-24 |
| 1376880112 | Delta Medical/rfg, LLC | Durable Medical Equipment & Medical Supplies | 134 Orient Ave, Jersey City, NJ 07305-3612 | 2013-01-14 |
| 1538421508 | City Pro Group | Durable Medical Equipment & Medical Supplies | 457 Palisade Avenue, Apartment 1, Jersey City, NJ 07307-1521 | 2012-06-14 |
| 1467699074 | Express Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 123 Town Square Pl, 698, Jersey City, NJ 07310-1756 | 2009-01-20 |
| 1255494324 | Shree Yash Corp | Durable Medical Equipment & Medical Supplies | 338 Palisade Ave, Palisade Drugs, Jersey City, NJ 07307-1753 | 2006-12-19 |
| 1124105093 | Umr Pharmacy | Durable Medical Equipment & Medical Supplies | 437 Central Ave, Jersey City, NJ 07307-2729 | 2006-10-31 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07307 |
Please comment or provide details below to improve the information on RIVERSIDE PEDIATRIC GROUP, PC.
| 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.