| Rivia Medical | |
|
274 Madison Ave Rm 1501 New York NY 10016-0701 | |
| (212) 203-1773 | |
| (646) 665-4427 |
| Full Name | Rivia Medical |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 274 Madison Ave Rm 1501, New York, New York |
| Authorized Official Name and Position | Wen Ao Dana Wang (PSYCHIATRIST/MANAGING MEMBER) |
| 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 274 Madison Ave Rm 1501 New York NY 10016-0701 Ph: (212) 203-1773 | Rivia Medical 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 | 02/23/2021 |
| Certification Date | 02/23/2021 |
| Medicare PECOS PAC ID | 4880009943 |
|---|---|
| Medicare Enrollment ID | O20210223001589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134644032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 285406 (New York) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 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 | Lindsey Carey Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578929659 PECOS PAC ID: 6800149154 Enrollment ID: I20181102001089 |
| Provider Name | Diana Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043669880 PECOS PAC ID: 1557608585 Enrollment ID: I20190129000930 |
| Provider Name | Joseph Amnawah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891050647 PECOS PAC ID: 5193151611 Enrollment ID: I20200131001903 |
| 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 | Katherine Kelly Lidz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861809998 PECOS PAC ID: 3476836289 Enrollment ID: I20210702001283 |
| 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 | Joanne S Keuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952971020 PECOS PAC ID: 1759779739 Enrollment ID: I20211025000689 |
| 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 | Meng Yu Yao |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346676780 PECOS PAC ID: 8426323262 Enrollment ID: I20220307002327 |
| Provider Name | Danica Zoia 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 | Emily Kathryn Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457851271 PECOS PAC ID: 4284996612 Enrollment ID: I20220503001465 |
| Provider Name | Rachela Elias |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821288895 PECOS PAC ID: 0244365229 Enrollment ID: I20220513001312 |
| Provider Name | Xing Liu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679069108 PECOS PAC ID: 2860872009 Enrollment ID: I20220706003020 |
| Provider Name | Jessica Lynn Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962054387 PECOS PAC ID: 6204219900 Enrollment ID: I20220812001896 |
| Provider Name | Sophie Gloeckler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588390389 PECOS PAC ID: 9335524172 Enrollment ID: I20220915001117 |
| Provider Name | Dakota Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518606045 PECOS PAC ID: 5092190330 Enrollment ID: I20220922000898 |
| 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 | Julie A Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891734323 PECOS PAC ID: 0143232256 Enrollment ID: I20221101000221 |
| Provider Name | Patricia J Grendell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609006949 PECOS PAC ID: 2567709280 Enrollment ID: I20221216001110 |
| Provider Name | Nicole Lee Vesper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043926850 PECOS PAC ID: 8820460306 Enrollment ID: I20230209001091 |
| Provider Name | Christen Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144670969 PECOS PAC ID: 3870965106 Enrollment ID: I20230214000973 |
| Provider Name | Jessica Dennison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023778537 PECOS PAC ID: 1850764556 Enrollment ID: I20230228001575 |
| 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 | Xian Kapetanakos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255840443 PECOS PAC ID: 1658783873 Enrollment ID: I20230615000068 |
| Provider Name | Peter Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336784156 PECOS PAC ID: 5496109373 Enrollment ID: I20230926003188 |
| 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 | Bethany Davison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144927633 PECOS PAC ID: 1951756329 Enrollment ID: I20231005001102 |
| 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 | Dandan Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043957715 PECOS PAC ID: 7214386564 Enrollment ID: I20231212001086 |
| 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 Lynda Ebietomiye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255102976 PECOS PAC ID: 7719322726 Enrollment ID: I20240229002809 |
Bimc Fpp Dept Of Psych Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Nathan D. Perlman Place, 16th Street At 1st Avenue, New York, NY 10003 Phone: 212-420-4714 | |
Joan Poelvoorde Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 W 34th St, Penthouse, New York, NY 10001 Phone: 646-473-0138 Fax: 646-473-0138 | |
Laurie D Gilkes Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 330 E 79th St, Suite 1g, New York, NY 10075 Phone: 212-737-0560 Fax: 212-737-0560 | |
National Federation For Autism Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 336 Fort Washington Ave, First Floor, New York, NY 10033 Phone: 917-783-2431 | |
Mary E Genkins Dsw Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 430 E 63rd St, Apt 12l, New York, NY 10065 Phone: 212-838-9257 Fax: 212-207-6615 | |
Rethink Autism Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 W 21st Street, Suite 403, New York, NY 10010 Phone: 917-658-6313 | |
The Heart Collaboration Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 5th Ave, Suite 900, New York, NY 10011 Phone: 212-947-7111 |