MEDICARE: RIVERSIDE PEDIATRIC GROUP, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1225576077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVERSIDE PEDIATRIC GROUP, PC

Provider Business Mailing Address
First Line	:	1 HARMON PLZ FL 10
Second Line	:
City	:	SECAUCUS
State	:	NJ
Zip	:	07094-2803
Country	:	US
Telephone Number	:	201-636-7233
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 37TH ST
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-2545
Country	:	US
Telephone Number	:	201-864-6860
Fax Number	:	201-392-1596

Authorized Official
Title or Position	:	CMO
Name	:	GAURANG BRAHMBHATT
Credential	:	MD
Telephone Number	:	201-636-7233

Provider Enumeration Date	:	02/01/2017
Last Update Date	:	06/30/2022

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1932215431 — LENNY RAMIREZ, DPM P.C.
Practice Location Address:

540 37TH ST
UNION CITY, NJ
07087-2545

Practice Phone: 201-864-6860
Practice Fax: 201-392-1596

1386664753 — ALLAN S THOMAS DMD
Practice Location Address:

2545 PARLEYS WAY , STE D
SALT LAKE CITY, UT
84109-1254

Practice Phone: 801-322-4900
Practice Fax: 801-322-4903

1003925355 — JEFFREY DRUCK MD
Practice Location Address:

50 N MEDICAL DR
SALT LAKE CITY, UT
84132-2545

Practice Phone: 801-581-2121
Practice Fax:

1649503137 — USD 470
Practice Location Address:

2545 GREENWAY RD
ARKANSAS CITY, KS
67005-3890

Practice Phone: 620-441-2000
Practice Fax: 620-441-2009

1215254370 — KARILYN MATSON PHARMD
Practice Location Address:

2545 E 3210 S
SALT LAKE CITY, UT
84109-2700

Practice Phone: 801-860-4999
Practice Fax:

Directions to “RIVERSIDE PEDIATRIC GROUP, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.