| Dr Inna Riva Professional Corporation | |
|
206 Washington St Ste A Jersey City NJ 07302-4557 | |
| (408) 981-7358 | |
| Not Available |
| Full Name | Dr Inna Riva Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 206 Washington St Ste A, Jersey City, New Jersey |
| Authorized Official Name and Position | Inna Riva (PHYSICIAN) |
| Authorized Official Contact | 4089817358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Inna Riva Professional Corporation 206 Washington St Ste A Jersey City NJ 07302-4557 Ph: (408) 981-7358 | Dr Inna Riva Professional Corporation 206 Washington St Ste A Jersey City NJ 07302-4557 Ph: (408) 981-7358 |
| NPI Number | 1124512389 |
|---|---|
| Provider Enumeration Date | 06/20/2018 |
| Last Update Date | 07/09/2020 |
| Medicare PECOS PAC ID | 3274889357 |
|---|---|
| Medicare Enrollment ID | O20180703000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124512389 | NPI | - | NPPES |
| 1013327345 | Other | NJ | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Inna Riva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013327345 PECOS PAC ID: 8820361504 Enrollment ID: I20170831000154 |
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