MARCUS RICHARD RIVERA MD NPI 1891993218

NPI Information

  • NPI: 1891993218
  • Provider Name: MARCUS RICHARD RIVERA, MD
  • Classification: Pediatrics - 2080P0206X
  • Specialization: Pediatric Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 725 IRVING AVE
    CROUSE POB STE. 805
    SYRACUSE, NY
    ZIP 13210
  • Phone: (315) 464-8444

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NPI Details

Marcus Richard Rivera, MD is a pediatric gastroenterology pediatrics in Syracuse, NY with 25 years of experience. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. Marcus Richard Rivera, MD NPI is 1891993218. 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:

725 IRVING AVE
CROUSE POB STE. 805
SYRACUSE, NY
ZIP 13210-603
Phone: (315) 464-8444
Fax: (315) 464-8445

The NPI 1891993218 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/6/2007 and was last updated on 10/20/2010.

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
12080P0206XPediatricsPediatric Gastroenterology255782NEW YORKYes

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
1J400016600MEDICARE PINNEW YORK
202888902MEDICAIDNEW 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: 11/21/2025

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