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RIVERSIDE PEDIATRIC GROUP PC NPI 1952849796


NPI Information

NPI: 1952849796
Provider Name: RIVERSIDE PEDIATRIC GROUP, PC

Doing Business As: RIVERSIDE MEDICAL GROUP

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 31D2040315

Address:
324 PALISADE AVE
2ND FL
JERSEY CITY, NJ
ZIP 07307
Phone: (201) 479-8600
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RIVERSIDE PEDIATRIC GROUP, PC is a durable medical equipment medical supplies in Jersey City, NJ. The provider is 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. RIVERSIDE PEDIATRIC GROUP, PC NPI is 1952849796. The provider is registered as an organization entity type.
The provider Is Doing Business As Riverside Medical Group.

The provider's business location address is:

324 PALISADE AVE
2ND FL
JERSEY CITY, NJ
ZIP 07307-791
Phone: (201) 479-8600
Fax: (201) 479-8601

The provider's authorized official is Zeyad Baker .
The authorized official title is Principal and has the following contact phone number (551) 257-7038.

The CLIA number assigned to this NPI record is 31D2040315 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2017 and was last updated on 2/15/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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