Organization
RIVAS MEDICAL SUPPLIES LLC
Active
Other names
Rivas Medical Supplies LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN BERMAN (OWNER)
(973) 249-8989
Entity
Organization
Contact information
Practice address
1950 RUTGERS UNIVERSITY BLVD STE 401, LAKEWOOD, NJ 08701-4537
(973) 249-8989
(732) 657-9400
Mailing address
1950 RUTGERS UNIVERSITY BLVD STE 401, LAKEWOOD, NJ 08701-4537
(973) 249-8989
(732) 657-9400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010003142-01
AMERICHOICE OF NEW JERSEY
NJ
01
—
2059451
UNITED HEALTHCARE
NJ
01
—
2507716
AETNA USHEALTHCARE
NJ
01
—
28RW01086500
CERTIFIED PHARMACY TECHNICIAN
NJ
01
—
29560
UNIVERSITY HEALTHPLAN OF NEW JERSEY
NJ
01
—
38627
IDA INSURANCE COMPANY
NJ
01
—
43ZA00019700
RESPIRATORY THERAPIST
NJ
05
—
8520607
—
NJ
01
—
88349
AMERIGROUP OF NEW JERSEY
NJ
01
—
A2403335
OXFORD HEALTH PLAN
NJ
01
—
CFORM0569
CERTIFIED ORTHOTIC & MASTECTOMY FITTER
NJ
Enumeration date
10/31/2006
Last updated
04/18/2024
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