ADELE GRACE RIVAS (NPI# 1104909134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104909134 |
| Entity Type | Individual |
| Full Name | ADELE GRACE RIVAS |
| Credential | PA-C |
| Practice Address |
22-18 Broadway Fair Lawn NJ 07410-3016 |
| Practice Telephone | 2014755050 |
| Practice Fax Number | 2014755522 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2013-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00102400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
22-18 BROADWAY |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023052289 | Nancy P Gallagher | Nurse Practitioner | 22-18 Broadway, Suite 102, Fair Lawn, NJ 07410-3016 | 2006-06-16 |
| 1063996650 | Meredith Claire Lubas | Nurse Practitioner | 22-18 Broadway, Fair Lawn, NJ 07410-3016 | 2018-09-19 |
| 1962941609 | Kirten Sanjay Parekh | Podiatrist | 22-18 Broadway, Suite 201, Fair Lawn, NJ 07410-3016 | 2017-02-14 |
| 1821417528 | Suzette Rizkalla | Internal Medicine | 22-18 Broadway, Fair Lawn, NJ 07410-3016 | 2014-04-09 |
| 1164768461 | Andi Qipo | Internal Medicine | 22-18 Broadway, Suite 201, Fair Lawn, NJ 07410-3016 | 2012-12-14 |
| 1104170851 | Catherine Carlton | Nurse Practitioner | 22-18 Broadway, Suite 201, Fair Lawn, NJ 07410-3016 | 2012-11-02 |
| 1013262161 | Comprehensive Sleep Management, LLC | Clinic/Center | 22-18 Broadway, Suite 103, Fair Lawn, NJ 07410-3016 | 2012-07-16 |
| 1427329648 | Ami Patel | Pharmacist | 22-18 Broadway, Retail Store #5, Fair Lawn, NJ 07410-3016 | 2012-01-19 |
| 1962712471 | Comprehensive Health Care of New Jersey,llc | Family Medicine | 22-18 Broadway, Fair Lawn, NJ 07410-3016 | 2010-10-18 |
| 1639488422 | Drug Stores One LLC | Pharmacy | 22-18 Broadway, Suite # 5, Fair Lawn, NJ 07410-3016 | 2010-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093261323 | Brittany Steepy | Physician Assistant | 14-01 Broadway, 3rd Floor, Fair Lawn, NJ 07410-2001 | 2016-08-28 |
| 1780861724 | Jaclyn Melissa Leitner | Physician Assistant | 31-00 Broadway, Fair Lawn, NJ 07410-3963 | 2008-01-22 |
| 1952447252 | Linda Jean Parisi | Physician Assistant | 31-00 Broadway, Fair Lawn, NJ 07410-3963 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1427660810 | Lauren Colacicco | Physician Assistant | 406 Nj-23 North, Franklin, NJ 07416 | 2020-08-18 |
| 1912525353 | Thy T Pham | Physician Assistant | 2 Capital Way Ste 407, Pennington, NJ 08534-2521 | 2020-07-13 |
| 1982226270 | Alexandra Bellisario | Physician Assistant | 7 Normandy Pl, Colts Neck, NJ 07722-1174 | 2020-05-11 |
| 1497394266 | Trevor Paul | Physician Assistant | 167 Us Highway 9 Ste 5, Englishtown, NJ 07726-9215 | 2019-12-27 |
| 1295371003 | Sujin Kim | Physician Assistant | 500 Grand Ave Ste 201, Englewood, NJ 07631-4968 | 2019-11-27 |
| 1811531767 | Kaceyanne Lynn Cerankowski | Physician Assistant | 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 | 2019-11-04 |
| 1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
| 1245871334 | Terrell Amanda Collins | Physician Assistant | 76 W Jimmie Leeds Rd Ste 201, Galloway, NJ 08205-9417 | 2019-10-01 |
| 1013561422 | Adrienne Lauren Rinaldi | Physician Assistant | 1400 State Highway 70, Relievus, Cherry Hill, NJ 08034-0000 | 2019-07-25 |
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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.