Active NPIIndividual provider

Mrs. Heidi N Riviello, PA-C

Physician Assistant, Medical in Ramsey, New Jersey

NPI Number1720405939
Practice location
171 Lake St, Ramsey, NJ 07446-2089
Fax
201-785-9100
Last updated
May 15, 2024

Heidi Nicole Riviello is a Physician Assistant, Medical based in Ramsey, NJ. Heidi Nicole Riviello practices in Ramsey, NJ and has the professional credentials of PA-C. The NPI Number for Heidi Nicole Riviello is 1720405939 and holds a License No. 3159 (CT). The current practice location address for Heidi Nicole Riviello is 171 Lake St, Ramsey, NJ 07446-2089 and can be reached out via phone at 017-850-0112 and via fax at 201-785-9100.

Provider Profile Details

NPI Number
1720405939
Provider Name
Heidi Nicole Riviello
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
171 Lake St, Ramsey, NJ 07446-2089
Phone Number
017-850-0112
Fax Number
201-785-9100
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Other Names
-- Heidi Brescia, PA-C (Former Name)
Provider Enumeration Date
March 25, 2014
Last Update Date
May 15, 2024
Certification Date
May 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
171 Lake St
Ramsey, NJ 07446-2089
City
Ramsey
Zip
07446-2089
Phone Number
017-850-0112
Fax Number
201-785-9100
Ramsey, NJ 07446Get directions →

Provider Business Mailing Address Details

Address
1033 US Highway 46 Ste 102
Clifton, NJ 07013-2448
City
Clifton
State
NJ
Zip
07013-2448
Phone Number
973-799-7979
Fax Number
973-799-7970

License Information

License Number (1)
3159
License State (1)
CT
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
MP00599500
License State (2)
NJ
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · 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 Mrs. Heidi N Riviello, PA-C?

The NPI number of Mrs. Heidi N Riviello, PA-C is 1720405939. It was assigned on March 25, 2014 and is currently active in the NPPES registry.

What is the specialty of Mrs. Heidi N Riviello, PA-C?

Mrs. Heidi N Riviello, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 3159.

Where does Mrs. Heidi N Riviello, PA-C practice?

The practice location is 171 Lake St, Ramsey, NJ 07446-2089. The office can be reached at 017-850-0112 (phone) or 201-785-9100 (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 1720405939 directly on the NPPES registry website.

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