OLEG RIVKIN PA-C NPI 1164541165

NPI Information

NPI: 1164541165
Provider Name: OLEG RIVKIN, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
680 KINDERKAMACK RD
SUITE 300
ORADELL, NJ
ZIP 07649
Phone: (201) 741-2550
Get Directions

Oleg Rivkin, PA-C is a surgical physician assistant in Oradell, NJ. Oleg Rivkin, PA-C NPI is 1164541165. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

680 KINDERKAMACK RD
SUITE 300
ORADELL, NJ
ZIP 07649-600
Phone: (201) 741-2550
Fax: (201) 342-7171

The enumeration date for this NPI number is 3/29/2007 and was last updated on 12/4/2012.

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
1	363AS0400X	Physician Assistant	Surgical	009405	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q57395	MEDICARE UPIN	NEW YORK
2	6039L1	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK

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: 4/28/2024

NPI Synchronization or Removal

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