Carlos G Rivera M.D., Pc

LBN: Carlos G Rivera M.D., Pc
Carlos G Rivera M.D., Pc is an health care organization with primary practice located at 9 Memorial Pkwy , Long Branch NJ 07740-6701. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Carlos G Rivera M.D., Pc can be contacted via phone (732) 728-7010, or through Swoope, Susan via phone (732) 977-4946.

Contact Information

Primary practice address
9 Memorial Pkwy Long Branch NJ 07740-6701
Fax:
Website:
Authorized official contact:
Name: Swoope, Susan

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 25MA06184200 New Jersey

Profile Details

NPI number 1447696216
LBN Legal business name Carlos G Rivera M.D., Pc
DBA Doing business as
Authorized official Swoope, Susan
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2013
Last updated May 20th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447696216 NPPES
New Jersey MEDICAID 6635008

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