Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881652105 Individual Practitioner Male Practitioner

Dr. Carlos J. Rivera , MD

Pediatrics • Patchogue, NY

Professional Overview & Biography Verified Profile Summary

Dr. Carlos Rivera, MD is a registered healthcare professional specializing in Pediatrics in Patchogue, NY. Practice services are available at 122 W ROE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

122 W Roe Blvd

Patchogue, NY 117722569

Telephone 6315046261
Fax 6315046263
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Patchogue, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
9 Specialists

Practicing in Patchogue, NY (6127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 221385

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dana Vecchio , NP

Nurse Practitioner

NPI 1083809222

Nurse Practitioner

Erica Ercolani , PA

Physician Assistant

NPI 1811368962

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 18, 2009

NPI status registered as active in NPPES database

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Updated Practice Location March 18, 2009

Registered at 122 W ROE BLVD, PATCHOGUE, NY 117722569 (Tel: 6315046261)

📍
Updated Business Mailing Address March 18, 2009

Registered at 8 GEORGANN RD, MANORVILLE, NY 119493223 (Tel: 6315046261)

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Provider Name / Credentials Updated March 18, 2009

Recorded as CARLOS RIVERA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2009

Pediatrics (License #221385 in NY)

🟢
Initial NPI Registration & Enumeration May 03, 2006

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

NPI Number: 1881652105
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2006
Last Update: March 18, 2009
Sole Proprietor: No

Mailing Address

8 Georgann Rd

Manorville, NY 119493223

Phone: 6315046261

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.