Active NPIIndividual providerSole proprietor

Priscilla A Rivera, APN

Nurse Practitioner, Primary Care in East Orange, New Jersey

NPI Number1417653601
Practice location
613 Park Ave Fl 2, East Orange, NJ 07017-1905
Fax
973-675-0040
Last updated
October 28, 2025

Priscilla Ann Rivera is a Nurse Practitioner, Primary Care based in East Orange, NJ. Priscilla Ann Rivera practices in East Orange, NJ and has the professional credentials of APN. The NPI Number for Priscilla Ann Rivera is 1417653601 and holds a License No. 798247 (NY). The current practice location address for Priscilla Ann Rivera is 613 Park Ave Fl 2, East Orange, NJ 07017-1905 and can be reached out via phone at 973-672-8573 and via fax at 973-675-0040.

Provider Profile Details

NPI Number
1417653601
Provider Name
Priscilla Ann Rivera
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
613 Park Ave Fl 2, East Orange, NJ 07017-1905
Phone Number
973-672-8573
Fax Number
973-675-0040
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
Yes
Provider Enumeration Date
January 31, 2023
Last Update Date
October 28, 2025
Certification Date
October 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
613 Park Ave Fl 2
East Orange, NJ 07017-1905
Zip
07017-1905
Phone Number
973-672-8573
Fax Number
973-675-0040
East Orange, NJ 07017Get directions →

Provider Business Mailing Address Details

Address
613 Park Ave Fl 2
East Orange, NJ 07017-1905
City
East Orange
State
NJ
Zip
07017-1905
Phone Number
973-672-8573
Fax Number
973-675-0040

License Information

License Number (1)
798247
License State (1)
NY
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
26NJ15305500
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Primary Care · 363LP2300X · 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 Priscilla A Rivera, APN?

The NPI number of Priscilla A Rivera, APN is 1417653601. It was assigned on January 31, 2023 and is currently active in the NPPES registry.

What is the specialty of Priscilla A Rivera, APN?

Priscilla A Rivera, APN is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in NY under license number 798247.

Where does Priscilla A Rivera, APN practice?

The practice location is 613 Park Ave Fl 2, East Orange, NJ 07017-1905. The office can be reached at 973-672-8573 (phone) or 973-675-0040 (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 1417653601 directly on the NPPES registry website.

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