MARISA RIVERSO MD NPI 1972922664

NPI Information

  • NPI: 1972922664
  • Provider Name: MARISA RIVERSO, MD
  • Classification: Pediatrics - 2080P0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 101 APPLIED BANK BLVD STE 11
    GLEN MILLS, PA
    ZIP 19342
  • Phone: (484) 800-8630

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NPI Details

Marisa Riverso, MD is a pediatric emergency medicine pediatrics in Glen Mills, PA. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Marisa Riverso, MD NPI is 1972922664. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 APPLIED BANK BLVD STE 11
GLEN MILLS, PA
ZIP 19342
Phone: (484) 800-8630
Fax: (484) 800-8635

The NPI 1972922664 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 4/10/2014 and was last updated on 5/6/2019.

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
1207P00000XEmergency MedicineC1-0013071DELAWARENo
2208000000XPediatricsMD461999PENNSYLVANIANo
3208000000XPediatricsC1-0013071DELAWARENo
42080P0204XPediatricsPediatric Emergency MedicineMD461999PENNSYLVANIAYes

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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