Carlos G Rivera M.d., Pc, NPI 1447696216
Exclusive Provider Organization in Long Branch, NJ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1447696216
NPI Entity Type Organization
Provider Name Carlos G Rivera M.d., Pc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 9 Memorial Pkwy, Long Branch, NJ, US
Provider Mailing Address 9 Memorial Pkwy, Long Branch, NJ, US, 077406701
Is Sole Proprietor? No
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Organization Official

Official Name Susan Swoope
Official Position MANAGER
Phone 732-977-4946

Primary Taxonomy

Taxonomy Code

302F00000X

Taxonomy Name Exclusive Provider Organization
Classification

Exclusive Provider Organization

Group

Managed Care Organizations

License No. 25MA06184200
License State NJ
Description (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

Business Address

Carlos G Rivera M.d., Pc
9 Memorial Pkwy

Long Branch, NJ, US

Phone: 732-728-7010

Mailing Address

Carlos G Rivera M.d., Pc
9 Memorial Pkwy
Long Branch, NJ, US
ZIP 077406701
Phone: 732-728-7010

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NPI Name Taxonomy Address

1477277028

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LCSW Nancy F. Perez

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890 Mountain Ave

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