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MR. CARLOS JESUS RIVERA
NPI 1205701497
Student in an Organized Health Care Education/Training Program in Newark, NJ

Active since October 07, 2025
111 CENTRAL AVE, NEWARK, NJ 07102(973) 877-5000 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Carlos Jesus Rivera NPPES

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

MR. CARLOS JESUS RIVERA (NPI 1205701497) is an individual student in an organized health care education/training program in Newark, New Jersey and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1205701497
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. CARLOS JESUS RIVERA
Location Address111 CENTRAL AVENewark, NJ 07102-1909
Mailing Address50 Sussex Ave # 1113Newark, NJ 07103-3939
Phone(973) 877-5000
Sole ProprietorNo
Enumeration DateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
✔ NPI 1205701497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
111 CENTRAL AVE, Newark, NJ 07102
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Other Providers at the Same Location NPPES 20

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

PAUL V SCOTT CRNA
Registered Nurse
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5043
DR. HOI-WING SUSANNA YIM M.D.
Internal Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
DR. MONIQUE ALMOND ANTONIA PRINCE MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (929) 513-0312
KING EMERGENCY ASSOCIATES, P.A.
Emergency Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
DR. NITA MODI MD
Specialist
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
GATEWAY EMERGENCY SERVICES PC
Emergency Medicine
111 CENTRAL AVE, EMERGENCY DEPARTMENT
NEWARK, NJ 07102
Essex County (469) 401-2386
DR. CHRYSTINA MILDRED KIWAN MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
KHALED MOHAMMAD KHALED BANI YASEEN MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (551) 250-3743

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 Carlos Rivera's NPI number?

The NPI number for Carlos Rivera is 1205701497. It was assigned to this individual provider in the NPPES registry on October 7, 2025.

Where is Carlos Rivera located?

Carlos Rivera practices at 111 Central Ave, Newark, NJ 07102. The listed phone number is (973) 877-5000.

What is Carlos Rivera's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Carlos Rivera was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.