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MR. DAVID RIVERA PHYSICIAN ASSISTANT
NPI 1558417758
Physician Assistant - Medical in Bronx, NY

Active since January 28, 2007PECOS Enrolled
3485 E TREMONT AVE STE 1B, BRONX, NY 10465(718) 828-1549(718) 828-5029 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 14, 2025, Feb 23, 2022 (2 updates tracked since 2022).

About Mr. David Rivera Physician Assistant NPPES

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

MR. DAVID RIVERA PHYSICIAN ASSISTANT (NPI 1558417758) is an individual medical provider in Bronx, New York, licensed in New York (005652-1) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558417758
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. DAVID RIVERACredential: PHYSICIAN ASSISTANT
Location Address3485 E TREMONT AVE STE 1BBronx, NY 10465-2016
Mailing Address108 Benson StWest Haverstraw, NY 10993-1305 · (845) 786-2622
Phone(718) 828-1549
Fax(718) 828-5029
Sole ProprietorNo
Enumeration DateJanuary 28, 2007
Last NPPES UpdateMarch 14, 20252 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1558417758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 005652-1
3485 E TREMONT AVE STE 1B, Bronx, NY 10465
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Other Names 1

Professional Name (2)Mr. David Rivera

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David Rivera Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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. STANTON KEITH COLLINS M.D.
Internal Medicine
3485 E TREMONT AVE STE 1B
BRONX, NY 10465
Bronx County (718) 828-1549
MAUREEN ANNE WALSH PA
Physician Assistant
3485 E TREMONT AVE STE 1B
BRONX, NY 10465
Bronx County (718) 828-1549

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 David Rivera's NPI number?

The NPI number for David Rivera is 1558417758. It was assigned to this individual provider in the NPPES registry on January 28, 2007. The provider is also known as Mr. David Rivera.

Where is David Rivera located?

David Rivera practices at 3485 E Tremont Ave Ste 1B, Bronx, NY 10465. The listed phone number is (718) 828-1549.

What is David Rivera's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is David Rivera enrolled in Medicare?

Yes. David Rivera is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Rivera was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.