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

Craig Rivina

Individual provider Physician Assistant · NPI 1699163147

Craig Rivina is a Physician Assistant in Lakewood, New York. Qualified in 2013, 13 years ago. Practices with Physicians Immediate Care North Chicago LLC, a 261-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York and Pennsylvania.

Years since qualifying
13
Licensed in
NY, PA
In the registry since
2015
Specialties on file
3

Practice location Address checks out

390 E Fairmount Ave
Lakewood, NY 14750
Phone: (716) 526-0156
Fax: (716) 708-1578
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 022362 (NY)
Physician Assistant Taxonomy 363A00000X · Licence OA003464 (PA)
Physician Assistant Taxonomy 363A00000X · Licence MA057397 (PA)

Record details

NPI number1699163147
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 7, 2015
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Physicians Immediate Care North Chicago Llc — 261 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations22 on file with Medicare

Other providers in Lakewood