RIVERSIDE WHITE STONE FAMILY PRACTICE
NPI 1528211158
Family Medicine in White Stone, VA

Active since October 28, 2008CLIA 49D0225083 · Waiver
30 SHADY LN, WHITE STONE, VA 22578(804) 435-3133(804) 435-1311 Get Directions Write a Review

NPPES record last updated: October 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Riverside White Stone Family Practice NPPES

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

RIVERSIDE WHITE STONE FAMILY PRACTICE (NPI 1528211158) is a healthcare organization registered as a family medicine in White Stone, Virginia and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through November 30, 2026 and lists James Lesnick, Vice President, as its authorized official.

NPPES Registry Identity

NPI1528211158
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRIVERSIDE PHYSICIAN SERVICES INC
Location Address30 SHADY LNWhite Stone, VA 22578-2601
Mailing Address856 J Clyde Morris Blvd, Suite ANewport News, VA 23601-1318 · (757) 594-4006 · Fax (757) 534-5190
Fax(804) 435-1311
Organization SubpartYes
Authorized OfficialJames LesnickVice President · (757) 594-4006
Enumeration DateOctober 28, 2008
Last NPPES UpdateOctober 12, 2011
NPI 1528211158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedInternal MedicineTaxonomy 207R00000X
30 SHADY LN, White Stone, VA 22578

Other Names 1

Doing Business AsRiverside White Stone Family Practice

Other Identifiers 1

Medicare NSC1081570057VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 49D0225083

Riverside White Stone Family Practice · White Stone, VA
Active · expires Nov 30, 2026
CLIA Number49D0225083
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorBrian K. Cubbage
Laboratory Phone(804) 435-3133
Laboratory LocationRiverside White Stone Family Practice30 Shady Lane, White Stone, VA 22578
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Family Medicine
30 SHADY LN
WHITE STONE, VA 22578
Nurse Practitioner (Family)
30 SHADY LN
WHITE STONE, VA 22578
Family Medicine
30 SHADY LN
WHITE STONE, VA 22578
Physician Assistant
30 SHADY LN
WHITE STONE, VA 22578
Internal Medicine (Cardiovascular Disease)
30 SHADY LN
WHITE STONE, VA 22578
Nurse Practitioner (Family)
30 SHADY LN
WHITE STONE, VA 22578
Internal Medicine
30 SHADY LN
WHITE STONE, VA 22578
Family Medicine
30 SHADY LN
WHITE STONE, VA 22578

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 Riverside Physician Services Inc's NPI number?

The NPI number for Riverside Physician Services Inc is 1528211158. It was assigned to this organization in the NPPES registry on October 28, 2008. The provider is doing business as Riverside White Stone Family Practice.

Where is Riverside Physician Services Inc located?

Riverside Physician Services Inc is located at 30 Shady Ln, White Stone, VA 22578. The listed phone number is (804) 435-3133.

What is Riverside Physician Services Inc's specialty?

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

Does Riverside Physician Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0225083) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Riverside Physician Services Inc was last updated on October 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.