RIVERSIDE MEDICAL CENTER
NPI 1093884439
Specialist in Cocoa, FL

Q: What is Riverside Medical Center, PA's NPI number?

The NPI number for Riverside Medical Center, PA is 1093884439. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Riverside Medical Center.

Q: What is Riverside Medical Center, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since November 07, 2006CLIA 10D1083204 · Waiver

863 N COCOA BLVD, COCOA, FL 32922(321) 264-2345(321) 735-8882 Get Directions Write a Review

NPPES record last updated: August 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2017, Jun 8, 2017 (2 updates tracked since 2017).

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About Riverside Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE MEDICAL CENTER (NPI 1093884439) is a healthcare organization registered as a specialist in Cocoa, Florida and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Janet E Miley, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1093884439

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameRIVERSIDE MEDICAL CENTER, PA

Location Address863 N COCOA BLVDCocoa, FL 32922-7510

Mailing Address3206 S Hopkins Ave, Suite 87Titusville, FL 32780-5667 · (321) 264-2345 · Fax (321) 735-8882

Phone(321) 264-2345

Fax(321) 735-8882

Organization SubpartNo

Authorized OfficialJanet E MileyMedical Director · (321) 264-2345

Enumeration DateNovember 7, 2006

Last NPPES UpdateAugust 3, 20172 updates tracked since enumeration

✔ NPI 1093884439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · 207RC0200X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

863 N COCOA BLVD, Cocoa, FL 32922

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Other Names 1

Doing Business AsRiverside Medical Center

Other Identifiers 5

Medicare ID-Type UnspecifiedE6294FL

Other7276274FL · Aetna Insurance

Other03280FL · Bcbs Insurance

Other7883229001FL · Cigna Insurance

Medicare UPINH49134FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1083204

Riverside Medical Center · Cocoa, FL

Active · expires Apr 28, 2028

CLIA Number10D1083204

Laboratory TypePhysician Office

Certificate Effective DateApril 29, 2026

Certificate Expiration DateApril 28, 2028

Laboratory DirectorJanet E. Miley

Laboratory Phone(321) 264-2345

Laboratory LocationRiverside Medical Center863 N Cocoa Blvd, Cocoa, FL 32922

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHLEEN ANN SARKOZY

Developmental Therapist