| Rivia Medical Pllc | |
|
274 Madison Ave Rm 1501 New York NY 10016-0701 | |
| (212) 203-1773 | |
| (646) 665-4427 |
| Full Name | Rivia Medical Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 274 Madison Ave Rm 1501, New York, New York |
| Authorized Official Name and Position | Raymond Raad (CO-FOUNDER) |
| Authorized Official Contact | 2122031773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivia Medical Pllc 274 Madison Ave Rm 1501 New York NY 10016-0701 Ph: (212) 203-1773 | Rivia Medical Pllc 274 Madison Ave Rm 1501 New York NY 10016-0701 Ph: (212) 203-1773 |
| NPI Number | 1134644032 |
|---|---|
| Provider Enumeration Date | 08/11/2017 |
| Last Update Date | 11/22/2024 |
| Certification Date | 11/22/2024 |
| Medicare PECOS PAC ID | 4880009943 |
|---|---|
| Medicare Enrollment ID | O20210223001589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134644032 | NPI | - | NPPES |
| Provider Name | Andrea Ruth Rosenhaft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710149679 PECOS PAC ID: 9234128893 Enrollment ID: I20040510000037 |
| Provider Name | Stefani Rinde Oberferst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447666516 PECOS PAC ID: 4385969310 Enrollment ID: I20150213000745 |
| Provider Name | Joseph Depaola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033526850 PECOS PAC ID: 2163749128 Enrollment ID: I20150401000111 |
| Provider Name | Nisha Pradeep |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023455995 PECOS PAC ID: 7113235144 Enrollment ID: I20150924001826 |
| Provider Name | Denise Mcclellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851732549 PECOS PAC ID: 1557593233 Enrollment ID: I20161108000848 |
| Provider Name | Leila P Cadwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326595174 PECOS PAC ID: 3072879311 Enrollment ID: I20171102001304 |
| Provider Name | James Arthur Riter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639494909 PECOS PAC ID: 0840541611 Enrollment ID: I20180919000097 |
| Provider Name | Diana Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043669880 PECOS PAC ID: 1557608585 Enrollment ID: I20190129000930 |
| Provider Name | Joji Binu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770120339 PECOS PAC ID: 9638597511 Enrollment ID: I20200909000901 |
| Provider Name | Emily Yin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881240299 PECOS PAC ID: 5799191284 Enrollment ID: I20210308002456 |
| Provider Name | Sin Yan Lo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952748287 PECOS PAC ID: 0244669836 Enrollment ID: I20210604001665 |
| Provider Name | Wen Ao Dana Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306287594 PECOS PAC ID: 1052726114 Enrollment ID: I20210609001801 |
| Provider Name | Raymond Raad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740423854 PECOS PAC ID: 0143635201 Enrollment ID: I20210609002478 |
| Provider Name | Lorell E Berrios |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518396076 PECOS PAC ID: 2466795455 Enrollment ID: I20210623000269 |
| Provider Name | Saiful Islam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952912354 PECOS PAC ID: 6709287675 Enrollment ID: I20210629002988 |
| Provider Name | Karen Yan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730611997 PECOS PAC ID: 7810231024 Enrollment ID: I20210826001837 |
| Provider Name | Shaheen F Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154778579 PECOS PAC ID: 0143514943 Enrollment ID: I20210826002873 |
| Provider Name | Dawn Weathersby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215210018 PECOS PAC ID: 6406247923 Enrollment ID: I20211216002794 |
| Provider Name | Arleen Castro Perdido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669099198 PECOS PAC ID: 1254722101 Enrollment ID: I20220103001429 |
| Provider Name | Andrea Suplick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912190497 PECOS PAC ID: 4880781277 Enrollment ID: I20220202002315 |
| Provider Name | Danica Mccann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013404367 PECOS PAC ID: 2466847397 Enrollment ID: I20220311000847 |
| Provider Name | Meghan Mcginty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922638022 PECOS PAC ID: 4789079484 Enrollment ID: I20220316000796 |
| Provider Name | Marol Kerge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366758724 PECOS PAC ID: 1052542073 Enrollment ID: I20220406000648 |
| Provider Name | Beatriz Floriano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265183321 PECOS PAC ID: 4284020868 Enrollment ID: I20220407000856 |
| Provider Name | Rachela Elias |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821288895 PECOS PAC ID: 0244365229 Enrollment ID: I20220513001312 |
| Provider Name | Sharon Medina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568871291 PECOS PAC ID: 7214313055 Enrollment ID: I20221003001779 |
| Provider Name | Leonor Francisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174195168 PECOS PAC ID: 7113321845 Enrollment ID: I20221031000443 |
| Provider Name | Hyun Hee Kang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487153722 PECOS PAC ID: 7517322563 Enrollment ID: I20230427000705 |
| Provider Name | Nina Mohsini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114563228 PECOS PAC ID: 4981062072 Enrollment ID: I20230622000309 |
| Provider Name | Anna Bilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427757319 PECOS PAC ID: 8426417353 Enrollment ID: I20230710002388 |
| Provider Name | Ryan Mustacchio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316522915 PECOS PAC ID: 3173911872 Enrollment ID: I20231004004189 |
| Provider Name | Nikita Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285959163 PECOS PAC ID: 1759695711 Enrollment ID: I20231005000524 |
| Provider Name | Brian Coringrato |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1255893194 PECOS PAC ID: 5496100679 Enrollment ID: I20231007000313 |
| Provider Name | Marsha Charlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275994600 PECOS PAC ID: 4183098981 Enrollment ID: I20231019002150 |
| Provider Name | Rob Parrott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538697701 PECOS PAC ID: 5395191837 Enrollment ID: I20231019002568 |
| Provider Name | Jessica Lm Matthews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023632908 PECOS PAC ID: 9436505815 Enrollment ID: I20231020000862 |
| Provider Name | John William Scandurra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033838743 PECOS PAC ID: 7618323221 Enrollment ID: I20231101003347 |
| Provider Name | Ana Maria Paniagua |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093370256 PECOS PAC ID: 1759738263 Enrollment ID: I20231106000942 |
| Provider Name | Phuc Duyen Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023721446 PECOS PAC ID: 7113376708 Enrollment ID: I20231207002705 |
| Provider Name | Ruiy Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215717442 PECOS PAC ID: 9032568696 Enrollment ID: I20231208000916 |
| Provider Name | James Mueser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184211559 PECOS PAC ID: 1850740242 Enrollment ID: I20231211002208 |
| Provider Name | Irene Gan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679900484 PECOS PAC ID: 9335375484 Enrollment ID: I20231215002075 |
| Provider Name | Henrietta Bannerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477974095 PECOS PAC ID: 1850741018 Enrollment ID: I20231229002126 |
| Provider Name | Cristin Ann Teutul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548832207 PECOS PAC ID: 9032553631 Enrollment ID: I20240222002349 |
| Provider Name | Kemisola L Ebietomiye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255102976 PECOS PAC ID: 7719322726 Enrollment ID: I20240229002809 |
| Provider Name | Kayla Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609471366 PECOS PAC ID: 5193161875 Enrollment ID: I20240316000380 |
| Provider Name | Kelly Ann Albright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437760998 PECOS PAC ID: 2668811555 Enrollment ID: I20240411001494 |
| Provider Name | Heather Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760081012 PECOS PAC ID: 7214376946 Enrollment ID: I20240415001967 |
| Provider Name | Alexandra Leigh Kagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629629225 PECOS PAC ID: 5597106757 Enrollment ID: I20240518000468 |
| Provider Name | Sara Pettit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609427210 PECOS PAC ID: 1951841857 Enrollment ID: I20240906000085 |
| Provider Name | Ariel Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285261370 PECOS PAC ID: 9234664970 Enrollment ID: I20241119001076 |
| Provider Name | Romi Lyallpuri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144930686 PECOS PAC ID: 4082140611 Enrollment ID: I20241206000342 |
| Provider Name | Michelle Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083436521 PECOS PAC ID: 8426584699 Enrollment ID: I20241211001800 |
| Provider Name | Arlana Egan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174357958 PECOS PAC ID: 6204362155 Enrollment ID: I20241216001507 |
| Provider Name | Anna Wei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568294445 PECOS PAC ID: 4284161191 Enrollment ID: I20241217000575 |
| Provider Name | Katherine Irene Welter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265264972 PECOS PAC ID: 8426585258 Enrollment ID: I20241218001567 |
| Provider Name | Dana Jill Reszutek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982275483 PECOS PAC ID: 1254869464 Enrollment ID: I20250115000908 |
| Provider Name | Monika Lenart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578195665 PECOS PAC ID: 8820527211 Enrollment ID: I20250130001085 |
| Provider Name | Monique Zellars |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003574070 PECOS PAC ID: 4183154800 Enrollment ID: I20250211002457 |
| Provider Name | Kelly Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760886527 PECOS PAC ID: 4880919166 Enrollment ID: I20250221000320 |
| Provider Name | Chyade Dobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942081609 PECOS PAC ID: 9032567482 Enrollment ID: I20250226000431 |
| Provider Name | John M Huff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982100830 PECOS PAC ID: 7517215999 Enrollment ID: I20250227003740 |
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