Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1053339762
Riverside Physician Services Inc
Organization Subpart: YES
Active
NPI Number1053339762
NPI TypeNPI-2 Organization
SpecialtyFamily Medicine
Provider Details
NPI1053339762
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-07-18
Last Updated2014-10-14
Authorized OfficialJames Leesnick
Vice President
Phone: 7575944006
Mailing Address856 J Clyde Morris Blvd, Suite A
Newport News, VA 23601-1318
United States
Phone: (757) 594-4006 | Fax: (757) 534-5190
📍 View Map
Primary Practice Address16681 General Puller Hwy
Deltaville, VA 23043-2006
United States
Phone: (804) 776-8000 | Fax: (804) 776-6211
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No208000000X – Pediatrics--
Yes207Q00000X – Family Medicine--
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About NPI 1053339762

Riverside Physician Services Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1053339762. The primary specialty listed is Family Medicine. The organization is located in Deltaville, VA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053339762?

NPI 1053339762 belongs to Riverside Physician Services Inc, a Family Medicine in Deltaville, VA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053339762 active?

The current status of NPI 1053339762 in the NPPES registry is Active. The record was last updated on 2014-10-14.

What specialty is NPI 1053339762?

NPI 1053339762 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053339762?

You can verify NPI 1053339762 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053339762?

The primary practice address on file for NPI 1053339762 is 16681 General Puller Hwy, Deltaville, VA 23043-2006. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053339762 issued?

NPI 1053339762 was first issued (enumerated) on 2006-07-18. The NPPES record was last updated on 2014-10-14.

Practice Location Map

Riverside Physician Services Inc is located at 16681 General Puller Hwy, Deltaville, VA. Use the map below to find directions or verify the practice location.

📍 16681 General Puller Hwy, Deltaville, VA 23043-2006  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Riverside Physician Services Inc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-31 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162