Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. ILYA RIVKIN PMHNP
NPI 1255265708
Nurse Practitioner - Psychiatric/Mental Health in Summit, NJ

Q: What is Ilya Rivkin's NPI number?

The NPI number for Ilya Rivkin is 1255265708. It was assigned to this individual provider in the NPPES registry on June 10, 2026.

Q: What is Ilya Rivkin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Ilya Rivkin was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.

Active since June 10, 2026

33 OVERLOOK RD STE 210, SUMMIT, NJ 07901(908) 522-6617 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mr. Ilya Rivkin Pmhnp NPPES

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

MR. ILYA RIVKIN PMHNP (NPI 1255265708) is an individual psychiatric/mental health provider in Summit, New Jersey, licensed in New Jersey (26NJ15655300) and active in the NPI registry since June 2026. He maintains a secondary practice location in Boca Raton.

NPPES Registry Identity

NPI1255265708

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. ILYA RIVKINCredential: PMHNP

Location Address33 OVERLOOK RD STE 210Summit, NJ 07901-3562

Mailing Address18555 Ocean Mist DrBoca Raton, FL 33498-4907 · (347) 446-1616

Phone(908) 522-6617

Sole ProprietorYes

Enumeration DateJune 10, 2026

Last NPPES UpdateOctober 12, 2026

NPPES CertifiedOctober 12, 2026

✔ NPI 1255265708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in NJ · 26NJ15655300✔ Licensed in FL · 11048258

33 OVERLOOK RD STE 210, Summit, NJ 07901

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Secondary Practice Location 1

Location 118555 Ocean Mist DrBoca Raton, FL 33498-4907 · Phone (347) 446-1616

Other Providers at the Same Location NPPES 2

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

DR. VIOLINA FRENKEL MD LLC

Psychiatry & Neurology (Psychiatry)

33 OVERLOOK RD STE 210
SUMMIT, NJ 07901

Union County (908) 522-6617

ARI SAMUEL YOUNG

Internal Medicine (Gastroenterology)

33 OVERLOOK RD STE 210
SUMMIT, NJ 07901

Union County (908) 522-5040

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 Ilya Rivkin's NPI number?

The NPI number for Ilya Rivkin is 1255265708. It was assigned to this individual provider in the NPPES registry on June 10, 2026.

Where is Ilya Rivkin located?

Ilya Rivkin practices at 33 Overlook Rd Ste 210, Summit, NJ 07901. The listed phone number is (908) 522-6617.

What is Ilya Rivkin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Ilya Rivkin was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.