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

RIVER MEDICAL PRACTICE PC
NPI 1407785587
Family Medicine - Adult Medicine in Morristown, NY

Active since May 15, 2026CLIA 33D2346730 · Waiver
300 CHAPMAN STREET RD, MORRISTOWN, NY 13664(315) 482-2511(315) 482-7506 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 28, 2026, Jun 1, 2026, May 15, 2026 (3 updates tracked since 2026).

About River Medical Practice Pc NPPES

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

RIVER MEDICAL PRACTICE PC (NPI 1407785587) is a healthcare organization registered as an adult medicine in Morristown, New York and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through March 26, 2027, maintains 2 additional practice locations, and lists Kelley Tiernan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407785587
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameRIVER MEDICAL PRACTICE PC
Location Address300 CHAPMAN STREET RDMorristown, NY 13664-3254
Mailing Address4 Fuller StAlexandria Bay, NY 13607-1316 · (315) 482-2511 · Fax (315) 482-7506
Phone(315) 482-2511
Fax(315) 482-7506
Organization SubpartYesParent: River Hospital, Inc.
Authorized OfficialKelley TiernanCeo · (315) 482-2511
Enumeration DateMay 15, 2026
Last NPPES UpdateSeptember 28, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1407785587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
300 CHAPMAN STREET RD, Morristown, NY 13664
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Secondary Practice Locations 2

Location 1950 Linden StOgdensburg, NY 13669-4472 · Phone (315) 482-1280
Location 2225 St Lawrence AveHammond, NY 13646-3259 · Phone (315) 482-1280

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 33D2346730

River Medical Practice PC · Morristown, NY
Active · expires Mar 26, 2027
CLIA Number33D2346730
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Kelly L. Scott
Laboratory Phone(315) 482-2094
Laboratory LocationRiver Medical Practice PC300 Chapman Street Rd, Morristown, NY 13664
CLIA data matches this NPI record on: Address Name
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 River Medical Practice PC's NPI number?

The NPI number for River Medical Practice PC is 1407785587. It was assigned to this organization in the NPPES registry on May 15, 2026.

Where is River Medical Practice PC located?

River Medical Practice PC is located at 300 Chapman Street Rd, Morristown, NY 13664. The listed phone number is (315) 482-2511.

What is River Medical Practice PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does River Medical Practice PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2346730) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for River Medical Practice PC was last updated on September 28, 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.