RIVER MEDICAL PRACTICE PC – NPI #1407785587
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Family Medicine

RIVER MEDICAL PRACTICE PC is a provider located in MORRISTOWN, NY. NPPES recently assigned the NPI number 1407785587 to RIVER MEDICAL PRACTICE PC on May 15, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RIVER MEDICAL PRACTICE PC below.

NPI Profile for
RIVER MEDICAL PRACTICE PC

NPI Number
1407785587
Enumeration Date

(about 3 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RIVER MEDICAL PRACTICE PC
Primary location
300 CHAPMAN STREET RD
MORRISTOWN, NY 13664-3254
Phone: (315) 482-2511 Fax: (315) 482-7506
Mailing address
4 FULLER ST
ALEXANDRIA BAY, NY 13607-1316
Phone: (315) 482-2511 Fax: (315) 482-7506
Organization Subpart
Yes - RIVER MEDICAL PRACTICE PC is subpart of another organization.
Authorized Official
KELLEY TIERNAN
CEO
Phone: (315) 482-2511
Updated
Certification Date
May 15, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.