Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Riverdel Medical Practice, PC

Organization Primary Care Clinic/Center · NPI 1487693164

Riverdel Medical Practice, PC is a Primary Care Clinic/Center in Riverside, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

302 Clay St
Riverside, NJ 08075
Phone: (856) 461-7755
Fax: (856) 461-2699
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 25MA03673200 (NJ)

Record details

NPI number1487693164
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evacueto Tangco — Owner · (856) 461-7755
NPI enumeratedJune 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address302 Clay St., Riverside, NJ 08075