Riverdel Medical Practice, PC
Clinic/Center, Primary Care in Riverside, New Jersey
1487693164- Practice location
- 302 Clay St., Riverside, NJ 08075
- Phone
- 856-461-7755
- Fax
- 856-461-2699
- Last updated
- August 22, 2020
Riverdel Medical Practice, PC is a healthcare organization based in Riverside, NJ. Riverdel Medical Practice, PC practices in Riverside, NJ. The NPI Number for Riverdel Medical Practice, PC is 1487693164 and holds a License No. 25MA03673200 (NJ). The current practice location address for Riverdel Medical Practice, PC is 302 Clay St., Riverside, NJ 08075 and can be reached out via phone at 856-461-7755 and via fax at 856-461-2699.
Provider Profile Details
- NPI Number
- 1487693164
- Provider Name
- Riverdel Medical Practice, PC
- Provider Entity Type
- Organization
- Address
- 302 Clay St., Riverside, NJ 08075
- Phone Number
- 856-461-7755
- Fax Number
- 856-461-2699
- Primary Taxonomy
- Clinic/Center, Primary Care · 261QP2300X
- Organization Subpart
- No
- Authorized Official
- Dr. Evacueto P. Tangco, MD · Owner · 856-461-7755
- Provider Enumeration Date
- June 6, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 302 Clay St.
Riverside, NJ 08075 - City
- Riverside
- State
- New Jersey
- Zip
- 08075
- Phone Number
- 856-461-7755
- Fax Number
- 856-461-2699
Provider Business Mailing Address Details
- Address
- 302 Clay St.
Riverside, NJ 08075 - City
- Riverside
- State
- NJ
- Zip
- 08075
- Phone Number
- 856-461-7755
- Fax Number
- 856-461-2699
License Information
- License Number
- 25MA03673200
- License State
- NJ
- Taxonomy
- Clinic/Center, Primary Care · 261QP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Riverdel Medical Practice, PC?
The NPI number of Riverdel Medical Practice, PC is 1487693164. It was assigned on June 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Riverdel Medical Practice, PC?
Riverdel Medical Practice, PC is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in NJ under license number 25MA03673200.
Where does Riverdel Medical Practice, PC practice?
The practice location is 302 Clay St., Riverside, NJ 08075. The office can be reached at 856-461-7755 (phone) or 856-461-2699 (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 1487693164 directly on the NPPES registry website.