| Riverview Healthcare Associates | |
|
2401 Palisade Ave Union City NJ 07087-4528 | |
| (201) 867-5791 | |
| (201) 223-1905 |
| Full Name | Riverview Healthcare Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 2401 Palisade Ave, Union City, New Jersey |
| Authorized Official Name and Position | Jerry L Jurado (FAMILY PRACTICE) |
| Authorized Official Contact | 2018675791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverview Healthcare Associates 2401 Palisade Ave Union City NJ 07087-4528 Ph: (201) 867-5791 | Riverview Healthcare Associates 2401 Palisade Ave Union City NJ 07087-4528 Ph: (201) 867-5791 |
| NPI Number | 1306010335 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 05/20/2020 |
| Medicare PECOS PAC ID | 7012954332 |
|---|---|
| Medicare Enrollment ID | O20050408000328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306010335 | NPI | - | NPPES |
| 7489609 | Medicaid | NJ | |
| 6689507 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jerry L Jurado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720004021 PECOS PAC ID: 4385650605 Enrollment ID: I20101214000060 |
| Provider Name | Carlo Sebello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801556857 PECOS PAC ID: 7517351216 Enrollment ID: I20220223000442 |
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