Adele Grace Rivas , PA-C
Physician Assistant - Medical • Fair Lawn, NJ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Adele Rivas has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Adele Rivas, PA-C was a registered Physician Assistant - Medical practicing in Fair Lawn, NJ. Throughout an active medical career spanning 13 years, Adele Rivas provided care at the practice location at 22-18 BROADWAY until profile deactivation on 2019-06-21.
Historical Medicare Part B clinical services included emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
22-18 Broadway
Fair Lawn, NJ 074103016
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant - Medical in Fair Lawn, NJ
Practicing in Fair Lawn, NJ (802 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99284
Emergency department visit with moderate level of medical decision making
|
23 | 23 | $861.00 | $106.20 |
|
99285
Emergency department visit for life threatening or functioning severity
|
20 | 19 | $1284.00 | $155.98 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363AM0700X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Primary Care
Nurse Practitioner
Internal Medicine - Cardiovascular Disease
MDFACC
Nurse Practitioner - Adult Health
Advanced Practice Nurse
Internal Medicine - Cardiovascular Disease
MDFACCFSCAI
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 21, 2019
NPI status registered as active in NPPES database
Registered at 22-18 BROADWAY, FAIR LAWN, NJ 074103016 (Tel: 2014755050)
Registered at 22-18 BROADWAY, FAIR LAWN, NJ 074103016 (Tel: 2014755050)
Recorded as ADELE RIVAS, PA-C
Physician Assistant (License #25MP00102400 in NJ)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
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NPI Administrative Meta
Mailing Address
22-18 Broadway
Fair Lawn, NJ 074103016
Phone: 2014755050
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