Rivera, Roger Antonio

Rivera, Roger Antonio is an individual health care provider with primary practice located at 810 Abbott Blvd , Fort Lee NJ 07024-4151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rivera, Roger Antonio can be contacted via phone (201) 224-3200.

Contact Information

Primary practice address
810 Abbott Blvd Fort Lee NJ 07024-4151
Phone: (201) 224-3200
Fax: (201) 224-4045
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA06723600 New Jersey

Profile Details

NPI number 1538160890
LBN Legal business name Rivera, Roger Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538160890 NPPES
New Jersey MEDICAID 7727704

Popular Providers