Individual
MS. BEVERLY A HERMAN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDE
Contact information
Practice address
140 DEAN ST, GLEN ROCK, NJ 07452
(201) 445-1460
(201) 445-1460
Mailing address
140 DEAN ST, GLEN ROCK, NJ 07452
(201) 445-1460
(201) 445-1460
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
NJ
133NN1002X
Nutrition Education Nutritionist
Primary
2041-0164
NJ
133V00000X
Registered Dietitian
882506CDR
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3059850
AETNA HMO
—
01
—
7567402
AETNA TRADITIONAL
—
01
—
7619063
CIGNA
—
01
—
P2633340
OXFORD
NJ
01
—
P2633340
OXFORD NUTR
—
01
—
P2633343
OXFORD
NJ
01
—
P2633343
OXFORD RD
—
Enumeration date
12/08/2006
Last updated
09/11/2025
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