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South River Internal Medicine, PA

Internal Medicine Physician in Edgewater, MD · enumerated 2008 · authorized official Renee Nye, Ama/Front Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710131024

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Registry record

Entity type Organization (Type 2)
Legal business name South River Internal Medicine, PA
Practice address 3168 Braverton St Ste 250, Edgewater, MD, 21037
Phone (410) 956-1600
Fax (410) 956-7900
Enumeration date Nov 13, 2008
Last updated in NPPES Sep 2, 2024

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License D58166 (MD) Primary

Authorized official

Name Renee Nye
Title Ama/Front Office Manager
Phone (410) 956-1600

Other identifiers

Identifier Type State Issuer
514113300 Medicaid MD -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for South River Internal Medicine, PA?
The NPI for South River Internal Medicine, PA is 1710131024, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for South River Internal Medicine, PA?
NPPES lists Renee Nye (Ama/Front Office Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-02.