RIVERSIDE FAMILY MEDICINE
NPI 1467849349
Student in an Organized Health Care Education/Training Program in Newport News, VA

Q: What is Riverside Family Medicine's NPI number?

The NPI number for Riverside Family Medicine is 1467849349. It was assigned to this organization in the NPPES registry on April 19, 2015.

Q: What is Riverside Family Medicine's specialty?

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

Active since April 19, 2015CLIA 49D0229970 · Microscopy

10510 JEFFERSON AVE STE A, NEWPORT NEWS, VA 23601(757) 594-3800(575) 594-3890 Get Directions Write a Review

NPPES record last updated: April 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Riverside Family Medicine NPPES

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

RIVERSIDE FAMILY MEDICINE (NPI 1467849349) is a healthcare organization registered as a student in an organized health care education/training program in Newport News, Virginia and active in the NPI registry since April 2015. The organization holds a CLIA Microscopy certificate valid through June 3, 2027 and lists Marium Mujahid, Resident, as its authorized official.

NPPES Registry Identity

NPI1467849349

Entity TypeOrganization

Primary Taxonomy390200000X

Legal Business NameRIVERSIDE FAMILY MEDICINE

Location Address10510 JEFFERSON AVE STE ANewport News, VA 23601-3102

Mailing Address10510 Jefferson Ave Ste ANewport News, VA 23601-3102 · (757) 594-3800 · Fax (575) 594-3890

Phone(757) 594-3800

Fax(575) 594-3890

Organization SubpartNo

Authorized OfficialMarium MujahidResident · (703) 314-4456

Enumeration DateApril 19, 2015

✔ NPI 1467849349 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.

10510 JEFFERSON AVE STE A, Newport News, VA 23601

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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 for Provider-Performed Microscopy Procedures (PPMP) 49D0229970

Riverside Family Medicine-Brentwood · Newport News, VA

Active · expires Jun 3, 2027

CLIA Number49D0229970

Laboratory TypePhysician Office

Certificate Effective DateJune 4, 2025

Certificate Expiration DateJune 3, 2027

Laboratory DirectorBeth A. Klug

Laboratory Phone(757) 594-3812

Laboratory LocationRiverside Family Medicine-Brentwood10510 Jefferson Avenue - Suite A Attn-Chrissy Spratley, Newport News, VA 23601

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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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.

DR. DANIEL JASON FRASCA D.O.

Family Medicine