Provider Type Icon

RIVERSIDE NEPHROLOGY PC NPI 1275628174


NPI Information

NPI: 1275628174
Provider Name: RIVERSIDE NEPHROLOGY PC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
575 TURNPIKE ST STE 17
NORTH ANDOVER, MA
ZIP 01845
Phone: (978) 686-4343
Get Directions

RIVERSIDE NEPHROLOGY PC is a nephrology internal medicine in North Andover, MA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. RIVERSIDE NEPHROLOGY PC NPI is 1275628174. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

575 TURNPIKE ST STE 17
NORTH ANDOVER, MA
ZIP 01845-937
Phone: (978) 686-4343
Fax: (978) 682-5191

The provider's authorized official is Eduardo S Haddad .
The authorized official title is President and has the following contact phone number (978) 686-4343.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 12/22/2020.


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
1207RN0300XInternal MedicineNephrologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1805418OTHERMASSACHUSETTSTUFTS
29783512MEDICAIDMASSACHUSETTS
3M16918OTHERMASSACHUSETTSBLUE CROSS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.