Dr. Jonathan R Reidel, MD
Pediatrics in Bridgeport, Connecticut
1184793481- Practice location
- 64 Black Rock Avenue, Bridgeport, CT 06605-1200
- Phone
- 203-579-5000
- Fax
- 203-579-5113
- Last updated
- February 2, 2026
Jonathan Robert Reidel is a Pediatrics based in Bridgeport, CT. Jonathan Robert Reidel practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Jonathan Robert Reidel is 1184793481 and holds a License No. 044890 (CT). The current practice location address for Jonathan Robert Reidel is 64 Black Rock Avenue, Bridgeport, CT 06605-1200 and can be reached out via phone at 203-579-5000 and via fax at 203-579-5113.
Provider Profile Details
- NPI Number
- 1184793481
- Provider Name
- Jonathan Robert Reidel
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 64 Black Rock Avenue, Bridgeport, CT 06605-1200
- Phone Number
- 203-579-5000
- Fax Number
- 203-579-5113
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 8, 2006
- Last Update Date
- February 2, 2026
- Certification Date
- February 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 64 Black Rock Avenue
Bridgeport, CT 06605-1200 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06605-1200
- Phone Number
- 203-579-5000
- Fax Number
- 203-579-5113
Provider Business Mailing Address Details
- Address
- 64 Black Rock Avenue
Bridgeport, CT 06605-1200 - City
- Bridgeport
- State
- CT
- Zip
- 06605-1200
- Phone Number
- 203-576-3885
- Fax Number
- 203-683-3620
License Information
- License Number
- 044890
- License State
- CT
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Bridgeport, CT
View all Pediatrics providers in Bridgeport →Frequently Asked Questions
What is the NPI number of Dr. Jonathan R Reidel, MD?
The NPI number of Dr. Jonathan R Reidel, MD is 1184793481. It was assigned on November 8, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jonathan R Reidel, MD?
Dr. Jonathan R Reidel, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 044890.
Where does Dr. Jonathan R Reidel, MD practice?
The practice location is 64 Black Rock Avenue, Bridgeport, CT 06605-1200. The office can be reached at 203-579-5000 (phone) or 203-579-5113 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184793481 directly on the NPPES registry website.