RIVERSIDE PHYSICIAN SERVICES INC NPI 1134147788

NPI Information

  • NPI: 1134147788
  • Provider Name: RIVERSIDE PHYSICIAN SERVICES INC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: RIVERSIDE RENAL SPECIALISTS
  • Address: 120 KINGS WAY STE 2700
    WILLIAMSBURG, VA
    ZIP 23185
  • Phone: (757) 221-0110

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NPI Details

RIVERSIDE PHYSICIAN SERVICES INC is a multi-specialty clinic center in Williamsburg, VA. RIVERSIDE PHYSICIAN SERVICES INC NPI is 1134147788. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Riverside Renal Specialists.

The provider's business location address is:

120 KINGS WAY STE 2700
WILLIAMSBURG, VA
ZIP 23185-554
Phone: (757) 221-0110
Fax: (757) 221-0851

The provider's authorized official is James Lesnick .
The authorized official title is Vice President and has the following contact phone number (757) 594-4006.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 12/12/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

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: 3/30/2025

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