RIVERSIDE FAMILY PRACTICE PC NPI 1730106196

NPI Information

  • NPI: 1730106196
  • Provider Name: RIVERSIDE FAMILY PRACTICE, PC
  • Classification: Family Medicine - 207QS0010X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • CLIA Number: 31D0667397
  • Address: 718 TEANECK RD
    TEANECK, NJ
    ZIP 07666
  • Phone: (201) 833-3909

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NPI Details

RIVERSIDE FAMILY PRACTICE, PC is a sports medicine family medicine in Teaneck, NJ. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. RIVERSIDE FAMILY PRACTICE, PC NPI is 1730106196. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

718 TEANECK RD
TEANECK, NJ
ZIP 07666-245
Phone: (201) 833-3909
Fax: (201) 833-7073

The provider's authorized official is Adam Jarrett .
The authorized official title is Cmo, M.d. and has the following contact phone number (201) 833-3000.

The CLIA number assigned to this NPI record is 31D0667397 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 5/1/2013.

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
1207R00000XInternal Medicine25MA03273300NEW JERSEYNo
2174400000XSpecialist25MA05312800NEW JERSEYNo
3207QS0010XFamily MedicineSports Medicine25MA06291500NEW JERSEYYes

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
1203130405OTHERNEW JERSEYTAX IDENTIFICATION #
2078503MEDICARE PINNEW JERSEY

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: 11/21/2025

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