Active NPIIndividual providerSole proprietor

Trever J Riendeau, PA-S

Physician Assistant in Longmeadow, Massachusetts

NPI Number1396586384
Practice location
588 Longmeadow St, Longmeadow, MA 01106-2212
Fax
—
Last updated
September 22, 2026

Trever Jon Tardif Riendeau is a Physician Assistant based in Longmeadow, MA. Trever Jon Tardif Riendeau practices in Longmeadow, MA and has the professional credentials of PA-S. The NPI Number for Trever Jon Tardif Riendeau is 1396586384 and holds a License No. 3756 (NH). The current practice location address for Trever Jon Tardif Riendeau is 588 Longmeadow St, Longmeadow, MA 01106-2212 and can be reached out via phone at 413-565-1000.

Provider Profile Details

NPI Number
1396586384
Provider Name
Trever Jon Tardif Riendeau
Credential
PA-S
Provider Entity Type
Individual
Gender
Male
Address
588 Longmeadow St, Longmeadow, MA 01106-2212
Phone Number
413-565-1000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 4, 2024
Last Update Date
September 22, 2026
Certification Date
September 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
588 Longmeadow St
Longmeadow, MA 01106-2212
Zip
01106-2212
Phone Number
413-565-1000
Longmeadow, MA 01106Get directions →

Provider Business Mailing Address Details

Address
588 Longmeadow St
Longmeadow, MA 01106-2292
City
Longmeadow
State
MA
Zip
01106-2292

License Information

License Number
3756
License State
NH
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Trever J Riendeau, PA-S?

The NPI number of Trever J Riendeau, PA-S is 1396586384. It was assigned on June 4, 2024 and is currently active in the NPPES registry.

What is the specialty of Trever J Riendeau, PA-S?

Trever J Riendeau, PA-S is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NH under license number 3756.

Where does Trever J Riendeau, PA-S practice?

The practice location is 588 Longmeadow St, Longmeadow, MA 01106-2212. The office can be reached at 413-565-1000 (phone).

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 1396586384 directly on the NPPES registry website.

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