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:
Map and Directions
Authorized official contact:
Name: Jarrett, Adam Doctor of Medicine (MD)
Phone: (201) 833-3000

Health care specialties

SpecialtyCodeLicense #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 12 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 1730106196 NPPES
New Jersey Other 203130405 TAX IDENTIFICATION #

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