RIVERSIDE PEDIATRIC GROUP, PC (NPI# 1063959211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063959211 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE PEDIATRIC GROUP, PC |
| Other Organization Name | RIVERSIDE MEDICAL GROUP |
| Practice Address |
544 Broadway Bayonne NJ 07002 |
| Mailing Address |
38 Meadowlands Pkwy Secaucus NJ 07094-2925 |
| Practice Telephone | 5512577038 |
| Practice Fax Number | 2015522358 |
| Mailing Telephone | 5512577038 |
| Mailing Fax Number | 2015522358 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |
| Authorized Official Name | DR. ZEYAD BAKER (PRINCIPAL) |
| Authorized Official Telephone | 5512577038 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Riverside Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225576069 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 1111 Hudson St, Hoboken, NJ 07030-5305 | 2017-02-01 |
| 1770021511 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 2761 John F Kennedy Blvd, Jersey City, NJ 07306-5515 | 2017-02-01 |
| 1689112427 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 939 John F. Kennedy Boulevard, North Bergen, NJ 07047 | 2017-02-01 |
| 1841737053 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 6045 John F. Kennedy Boulevard, North Bergen, NJ 07047 | 2017-01-25 |
| 1902379977 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 1 Maywood Ave, Maywood, NJ 07607-1001 | 2019-01-02 |
| 1437658150 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 6506 Park Ave, West New York, NJ 07093-4302 | 2018-02-08 |
| 1487193454 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 625 Main Ave, Second Fl, Passaic, NJ 07055-4952 | 2017-02-23 |
| 1861930604 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 228 Franklin Ave, Nutley, NJ 07110-4700 | 2017-02-01 |
| 1952849796 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 324 Palisade Ave, 2nd Fl, Jersey City, NJ 07307-1791 | 2017-02-01 |
| 1316485162 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 255 Route 3, Secaucus, NJ 07094-3857 | 2017-02-01 |
| Street Address |
544 BROADWAY |
| City | BAYONNE |
| State | NJ |
| Zip Code | 07002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1972114437 | New Jersery Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18-40 Goldsborough Drive, Bayonne, NJ 07002 | 2020-08-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1093377152 | Moneeb Arshad Chohan | General Practice | 9 E 29th St, Bayonne, Bayonne, NJ 07002 | 2019-06-28 |
| 1477113835 | Jay Hwang | Dentist | 1160 John F. Kennedy Blvd, Suite B, Bayonne, NJ 07002 | 2019-06-18 |
| 1740845932 | Sara Shi | Student in an Organized Health Care Education/Training Program | Bayonne Medical Center, 29 E 29th St, Bayonne, NJ 07002 | 2019-05-03 |
| 1376003855 | S.akhtar.md.llc | Internal Medicine | 16 East 29th St, Bayonne, NJ 07002 | 2019-03-21 |
| 1144799701 | Perfect Home Care | Home Health | 473 Broadway Suite 402, Bayonne, NJ 07002 | 2018-11-13 |
| 1881174688 | Windmill Alliance Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 184 186 Hobart Avenue, Apartment #2, Bayonne, NJ 07002 | 2018-08-21 |
| 1437642774 | Agape Chen | Student in an Organized Health Care Education/Training Program | 29th Street & Avenue E, Bayonne, NJ 07002 | 2018-06-12 |
| Find all providers in zip 07002 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972114437 | New Jersery Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18-40 Goldsborough Drive, Bayonne, NJ 07002 | 2020-08-10 |
| 1639615313 | Crown Medical | Durable Medical Equipment & Medical Supplies | 65 W 39th St, Room 404, Bayonne, NJ 07002-2933 | 2017-01-18 |
| 1366894271 | Bayonne Ortho Fitting LLC | Durable Medical Equipment & Medical Supplies | 914 Broadway Ofc, Bayonne, NJ 07002-3034 | 2016-07-05 |
| 1306256581 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1080 Broadway, Bayonne, NJ 07002 | 2014-04-28 |
| 1801175872 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 500 Bayonne Crossing Way, Bayonne, NJ 07002-5305 | 2011-08-09 |
| 1841516564 | Liberty Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 265 Broadway, Bayonne, NJ 07002 | 2010-04-20 |
| 1851581532 | Barney Stock Shops | Durable Medical Equipment & Medical Supplies | 499 Broadway, Bayonne, NJ 07002-3713 | 2007-07-28 |
| 1255475711 | Healthy Life Pharmacy Corp | Durable Medical Equipment & Medical Supplies | 651 Broadway, Bayonne, NJ 07002-4710 | 2007-02-17 |
| 1942301049 | Davale Inc | Durable Medical Equipment & Medical Supplies | 449 Avenue C, Bayonne, NJ 07002-5105 | 2006-09-25 |
| 1497865273 | Rite Aid of New Jersey Inc | Durable Medical Equipment & Medical Supplies | 1097 Broadway, Bayonne, NJ 07002-4126 | 2006-08-30 |
| Find all providers in BAYONNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.