RIVER VIEW PEDIATRICS PC NPI 1831401850

NPI Information

NPI: 1831401850
Provider Name: RIVER VIEW PEDIATRICS, PC
Classification: Pediatrics - 2080A0000X
Specialization: Adolescent Medicine
Entity Type: Organization
CLIA Number: 33D0165627
Address: 909 W 1ST ST S
FULTON, NY
ZIP 13069
Phone: (315) 529-4987

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NPI Details

RIVER VIEW PEDIATRICS, PC is an adolescent medicine pediatrics in Fulton, NY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. RIVER VIEW PEDIATRICS, PC NPI is 1831401850. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

909 W 1ST ST S
FULTON, NY
ZIP 13069-050
Phone: (315) 529-4987
Fax: (315) 592-3571

The provider's authorized official is Sarah Finocchiaro .
The authorized official title is President and has the following contact phone number (315) 598-6785.

The CLIA number assigned to this NPI record is 33D0165627 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2010 and was last updated on 4/3/2024.

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	2080A0000X	Pediatrics	Adolescent Medicine	249530	NEW YORK	Yes
2	2080A0000X	Pediatrics	Adolescent Medicine	275132	NEW YORK	No
3	2080A0000X	Pediatrics	Adolescent Medicine	277792	NEW YORK	No
4	2080A0000X	Pediatrics	Adolescent Medicine	283995	NEW YORK	No

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
1	04153068	MEDICAID	NEW YORK
2	04427125	MEDICAID	NEW YORK
3	03236775	MEDICAID	NEW YORK
4	03921675	MEDICAID	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: 3/30/2025

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