RIVERDALE INTERNAL MEDICINE & GERIATRIC SERVICES PC NPI 1356429740

NPI Information

NPI: 1356429740
Provider Name: RIVERDALE INTERNAL MEDICINE & GERIATRIC SERVICES, PC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 33D1003934

Address:
3533 RIVERDALE AVE
BRONX, NY
ZIP 10463
Phone: (718) 432-5500
Get Directions

RIVERDALE INTERNAL MEDICINE & GERIATRIC SERVICES, PC is a geriatric medicine internal medicine in Bronx, NY. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. RIVERDALE INTERNAL MEDICINE & GERIATRIC SERVICES, PC NPI is 1356429740. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3533 RIVERDALE AVE
BRONX, NY
ZIP 10463-829
Phone: (718) 432-5500
Fax: (718) 432-5230

The provider's authorized official is Liliya Lotsvin .
The authorized official title is Ceo and has the following contact phone number (718) 543-6404.

The CLIA number assigned to this NPI record is 33D1003934 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/16/2021.

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	207RG0300X	Internal Medicine	Geriatric Medicine	207153	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	2016541007	OTHER	NEW YORK	CIGNA HEALTHCARE
2	068AR1	OTHER	NEW YORK	EMPIRE BLUE CROSS BLUE S
3	4C7908	OTHER	NEW YORK	HEALTHNET NORTHEAST
4	5227722	OTHER	NEW YORK	AETNA
5	LL7153	OTHER	NEW YORK	ATLANTIS HEALTHCARE
6	P00102478	OTHER	NEW YORK	RAILROAD MEDICARE
7	2043796	OTHER	NEW YORK	UNITED HEALTHCARE
8	2594234	OTHER	NEW YORK	GHI
9	01827669	MEDICAID	NEW YORK
10	207153	OTHER	NEW YORK	HIP OF GREATER NY
11	P2706586	OTHER	NEW YORK	OXFORD HEALTHCARE

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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