Dr John Edwin Rivera Jr, MD | |
20 York St Cb-2041, Hospitalist Service, New Haven, CT 06504 | |
(203) 688-4748 | |
(203) 688-4740 |
Full Name | Dr John Edwin Rivera Jr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 20 York St Cb-2041, New Haven, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720044811 | NPI | - | NPPES |
042567 | Other | CT | STATE MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 042567 (Connecticut) | Primary |
207Q00000X | Family Medicine | 042567 (Connecticut) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
The Hospital Of Central Connecticut | New britain, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
John E Rivera Jr Md Llc | 2668614918 | 2 |
Entity Name | Northeast Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
Entity Name | John E Rivera Jr Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902146996 PECOS PAC ID: 2668614918 Enrollment ID: O20130815000604 |
Mailing Address | Practice Location Address |
---|---|
Dr John Edwin Rivera Jr, MD 20 York St, Cb-2041, New Haven, CT 06504-8900 Ph: (203) 688-4748 | Dr John Edwin Rivera Jr, MD 20 York St Cb-2041, Hospitalist Service, New Haven, CT 06504 Ph: (203) 688-4748 |
Teresa Joseph, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-737-8894 | |
Alexander B Pine, MD, PHD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 20 York St, Cb-2041, New Haven, CT 06510 Phone: 203-688-4748 Fax: 203-688-4740 | |
Alina Rakhuba, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 20 York Street, Cb-2041, New Haven, CT 06510 Phone: 203-688-4748 Fax: 203-688-4740 | |
Omar Yasser Abed Shakhtour, MBBS Hospitalist Medicare: Medicare Enrolled Practice Location: 20 York Street, Cb-2041, New Haven, CT 06510 Phone: 036-884-7482 Fax: 036-884-7402 | |
Dr. Deepti Canchi, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4748 Fax: 203-688-4740 | |
Dr. Nidhi Shah, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 20 York Street, Cb-2041, New Haven, CT 06510 Phone: 203-688-4748 Fax: 203-688-4740 | |
Dr. Rupert Dogbey, MBCHB Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1450 Chapel St, New Haven, CT 06511 Phone: 203-789-3034 |