Riverside Family Practice, Pc
LBN: Riverside Family Practice, Pc
Riverside Family Practice, Pc is an health care organization with primary practice located at 718 Teaneck Rd , Teaneck NJ 07666-4245. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty.
Riverside Family Practice, Pc can be contacted via phone (201) 833-3909, or through Jarrett, Adam via phone (201) 833-3000.
Contact Information
Primary practice address
718 Teaneck Rd
Teaneck NJ 07666-4245
Phone: (201) 833-3909
Fax: (201) 833-7073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA05312800 | New Jersey |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 25MA06291500 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA03273300 | New Jersey |
Profile Details
| NPI number | 1730106196 |
|---|---|
| LBN Legal business name | Riverside Family Practice, Pc |
| DBA Doing business as | |
| Authorized official | Jarrett, Adam Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | May 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730106196 | NPPES |
| New Jersey | Other | 203130405 | TAX IDENTIFICATION # |
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