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RIVERSIDE OB GYN P C
NPI 1699724559
Obstetrics & Gynecology in Trenton, MI

Active since May 09, 2006
2275 W JEFFERSON AVE, TRENTON, MI 48183(734) 675-7210(734) 675-3023 Get Directions Write a Review

NPPES record last updated: June 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Riverside Ob Gyn P C NPPES

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

RIVERSIDE OB GYN P C (NPI 1699724559) is a healthcare organization registered as an obstetrics & gynecology in Trenton, Michigan and active in the NPI registry since May 2006. The organization lists Ahmad I. Al-jerdi, President, as its authorized official.

NPPES Registry Identity

NPI1699724559
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameRIVERSIDE OB GYN P C
Location Address2275 W JEFFERSON AVETrenton, MI 48183-2114
Mailing Address2275 W Jefferson AveTrenton, MI 48183-2114 · (734) 675-7210 · Fax (734) 675-3023
Phone(734) 675-7210
Fax(734) 675-3023
Organization SubpartNo
Authorized OfficialAhmad I. Al-jerdiPresident · (734) 675-7210
Enumeration DateMay 9, 2006
Last NPPES UpdateJune 26, 2012
✔ NPI 1699724559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2275 W JEFFERSON AVE, Trenton, MI 48183
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Other Identifiers 15

Medicare UPINH42769MI
Other2966851MI · Cigna
Other160003353MI · Railroad Medicare
Medicaid4165045-10MI
Medicare PIN0M84380MI
Medicaid1540358-11MI
Other6676861MI · Cigna
Other160H210680MI · Bcbs
Other160055737MI · Railroad Medicare
Other160059461MI · Railroad Medicare
Medicaid4106545-11MI
Medicaid4471183-11MI
Other7139017MI · Cigna
Other160055739MI · Railroad Medicare
Medicare PIN0G24657MI

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 23D0368687

Riverside Ob Gyn · Trenton, MI
Expired · Jul 31, 2026
CLIA Number23D0368687
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorAhmad Al-Jerdi
Laboratory Phone(734) 675-7210
Laboratory LocationRiverside Ob Gyn2275 W Jefferson, Trenton, MI 48183
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 3

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

DR. AHMAD I AL-JERDI D.O.
Obstetrics & Gynecology
2275 W JEFFERSON AVE
TRENTON, MI 48183
Wayne County (734) 675-7210
RENEE MARIE WORRELL MSN, CNM
Midwife
2275 W JEFFERSON AVE
TRENTON, MI 48183
Wayne County (734) 675-7210
TAMMY VO-MOTA PA-C
Physician Assistant (Medical)
2275 W JEFFERSON AVE
TRENTON, MI 48183
Wayne County (734) 675-7210

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 Ob Gyn P C's NPI number?

The NPI number for Riverside Ob Gyn P C is 1699724559. It was assigned to this organization in the NPPES registry on May 9, 2006.

Where is Riverside Ob Gyn P C located?

Riverside Ob Gyn P C is located at 2275 W Jefferson Ave, Trenton, MI 48183. The listed phone number is (734) 675-7210.

What is Riverside Ob Gyn P C's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

What insurance does Riverside Ob Gyn P C accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Riverside Ob Gyn P C as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Riverside Ob Gyn P C was last updated on June 26, 2012. 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.