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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538160890 | NPPES |
| New Jersey | MEDICAID | 7727704 |
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