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SOUTHINGTON FAMILY MEDICAL CENTER
NPI 1154387264
Family Medicine in Milldale, CT

Active since April 26, 2006CLIA 07D0097299 · Waiver
1753 MERIDEN-WATERBURY RD, MILLDALE, CT 06467(860) 621-5554(860) 621-3833 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southington Family Medical Center NPPES

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

SOUTHINGTON FAMILY MEDICAL CENTER (NPI 1154387264) is a healthcare organization registered as a family medicine in Milldale, Connecticut and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through July 22, 2028 and lists John Edwin Rivera, Director, as its authorized official.

NPPES Registry Identity

NPI1154387264
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJOHN E. RIVERA, M.D., P.C.
Location Address1753 MERIDEN-WATERBURY RDMilldale, CT 06467-0770
Mailing Address1753 Meriden-waterbury RdMilldale, CT 06467-0770 · (860) 621-5554 · Fax (860) 621-3833
Phone(860) 621-5554
Fax(860) 621-3833
Organization SubpartNo
Authorized OfficialJohn Edwin RiveraDirector · (860) 621-5554
Enumeration DateApril 26, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154387264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 026829
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1753 MERIDEN-WATERBURY RD, Milldale, CT 06467
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Other Names 1

Doing Business AsSouthington Family Medical Center

Other Identifiers 2

Other042567CT · Lic-john E. Rivera, Jr Md
Other026829CT · Lic-john E. Rivera, M.d.

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 07D0097299

Southington Family Medical Center · Milldale, CT
Active · expires Jul 22, 2028
CLIA Number07D0097299
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorJohn E. Rivera Jr
Laboratory Phone(860) 621-5554
Laboratory LocationSouthington Family Medical Center1753 Meriden-Waterbury Rd, Milldale, CT 06467
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John E. Rivera, M.D., P.C.'s NPI number?

The NPI number for John E. Rivera, M.D., P.C. is 1154387264. It was assigned to this organization in the NPPES registry on April 26, 2006. The provider is doing business as Southington Family Medical Center.

Where is John E. Rivera, M.D., P.C. located?

John E. Rivera, M.D., P.C. is located at 1753 Meriden-Waterbury Rd, Milldale, CT 06467. The listed phone number is (860) 621-5554.

What is John E. Rivera, M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does John E. Rivera, M.D., P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0097299) is associated with this NPI, valid through July 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for John E. Rivera, M.D., P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.