Marcus Richard Rivera
MD | Pediatric Gastroenterology | Male
Marcus Richard Rivera, MD is a Syracuse, New York based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Marcus Richard Rivera is
725 Irving Ave, Crouse Pob Ste. 805, Syracuse, New York - 13210-1603. He can be contacted on phone at
315-464-8444 and fax number 315-464-8445.
Marcus Richard Rivera is a sole proprietor of his business.
NPI number (Unique professional ID) for Marcus Richard Rivera is
1891993218 which was assigned by NPPES on 06 Jul, 2007 and it was last updated on 20 Oct, 2010.
Marcus Richard Rivera license number is
255782 for Pediatrics Pediatric Gastroenterology (2080P0206X) in New York.
Marcus Richard Rivera specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Marcus Richard Rivera basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Marcus Richard Rivera |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Marcus Richard Rivera address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 725 Irving Ave, Crouse Pob Ste. 805
Syracuse, NY, 13210-1603
United States |
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| Phone Number : | 315-464-8444 |
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| Fax Number : | 315-464-8445 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1891993218 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Jul, 2007 |
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| Last Updated On : | 20 Oct, 2010 |
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Medicare Participation:
Marcus Richard Rivera participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9830290402 |
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| Medicare Enrollment ID : | I20100628000185 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2001 |
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| Accepts Medicare? | Yes. Marcus Richard Rivera accepts medicare insurance. |
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Group Practice Association:
Marcus Richard Rivera is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Marcus Richard Rivera is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Pediatric Service Group | 9931007200 | 10 | 750 E Adams St
Syracuse, NY - 132102306
Ph: 3154645450 | Yes |
| Pediatric Service Group | 9931007200 | 10 | 750 E Adams St
Suite 3
Syracuse, NY - 132102306
Ph: 3154645294 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marcus Richard Rivera are as mentioned. Primary taxonomy code for Marcus Richard Rivera, MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 255782 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Marcus Richard Rivera such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 02888902 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 725 Irving Ave, Crouse Pob Ste. 805
Syracuse, NY, 13210-1603
United States |
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| Phone Number : | 315-464-8444 |
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| Fax Number : | 315-464-8445 |
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Business Location:
Patients can refer following map for directions to
Marcus Richard Rivera practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.