Active NPIIndividual providerSole proprietor

Oleg Rivkin, PA-C

Physician Assistant, Surgical in Oradell, New Jersey

NPI Number1164541165
Practice location
680 Kinderkamack RD, Suite 300, Oradell, NJ 07649-1600
Fax
201-342-7171
Last updated
December 4, 2012

Oleg Rivkin is a Physician Assistant, Surgical based in Oradell, NJ. Oleg Rivkin practices in Oradell, NJ and has the professional credentials of PA-C. The NPI Number for Oleg Rivkin is 1164541165 and holds a License No. 009405 (NY). The current practice location address for Oleg Rivkin is 680 Kinderkamack RD, Suite 300, Oradell, NJ 07649-1600 and can be reached out via phone at 201-741-2550 and via fax at 201-342-7171.

Provider Profile Details

NPI Number
1164541165
Provider Name
Oleg Rivkin
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
680 Kinderkamack RD, Suite 300, Oradell, NJ 07649-1600
Phone Number
201-741-2550
Fax Number
201-342-7171
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
Yes
Provider Enumeration Date
March 29, 2007
Last Update Date
December 4, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
680 Kinderkamack RD
Suite 300
Oradell, NJ 07649-1600
Zip
07649-1600
Phone Number
201-741-2550
Fax Number
201-342-7171
Oradell, NJ 07649Get directions →

Provider Business Mailing Address Details

Address
680 Kinderkamack RD
Suite 300
Oradell, NJ 07649-1600
City
Oradell
State
NJ
Zip
07649-1600
Phone Number
201-741-2550
Fax Number
201-342-7171

License Information

License Number
009405
License State
NY
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Oleg Rivkin, PA-C?

The NPI number of Oleg Rivkin, PA-C is 1164541165. It was assigned on March 29, 2007 and is currently active in the NPPES registry.

What is the specialty of Oleg Rivkin, PA-C?

Oleg Rivkin, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NY under license number 009405.

Where does Oleg Rivkin, PA-C practice?

The practice location is 680 Kinderkamack RD, Suite 300, Oradell, NJ 07649-1600. The office can be reached at 201-741-2550 (phone) or 201-342-7171 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164541165 directly on the NPPES registry website.

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