Active NPIIndividual provider

Nicole Riley, PA, C

Physician Assistant in Moorestown, New Jersey

NPI Number1730129974
Practice location
401 Young Ave, Suite 245, Moorestown, NJ 08057-3130
Fax
609-267-9457
Last updated
June 10, 2015

Nicole Riley is a Physician Assistant based in Moorestown, NJ. Nicole Riley practices in Moorestown, NJ and has the professional credentials of PA, C. The NPI Number for Nicole Riley is 1730129974 and holds a License No. MP799 (NJ). The current practice location address for Nicole Riley is 401 Young Ave, Suite 245, Moorestown, NJ 08057-3130 and can be reached out via phone at 609-267-9400 and via fax at 609-267-9457.

Provider Profile Details

NPI Number
1730129974
Provider Name
Nicole Riley
Credential
PA, C
Provider Entity Type
Individual
Gender
Female
Address
401 Young Ave, Suite 245, Moorestown, NJ 08057-3130
Phone Number
609-267-9400
Fax Number
609-267-9457
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
-- Nicole Miller (Former Name)
Provider Enumeration Date
June 7, 2006
Last Update Date
June 10, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
401 Young Ave
Suite 245
Moorestown, NJ 08057-3130
Zip
08057-3130
Phone Number
609-267-9400
Fax Number
609-267-9457
Moorestown, NJ 08057Get directions →

Provider Business Mailing Address Details

Address
4 Eves Dr # A
Suite 100
Marlton, NJ 08053-3195
City
Marlton
State
NJ
Zip
08053-3195
Phone Number
609-267-9400
Fax Number
609-267-9457

License Information

License Number
MP799
License State
NJ
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 Nicole Riley, PA, C?

The NPI number of Nicole Riley, PA, C is 1730129974. It was assigned on June 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Nicole Riley, PA, C?

Nicole Riley, PA, C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number MP799.

Where does Nicole Riley, PA, C practice?

The practice location is 401 Young Ave, Suite 245, Moorestown, NJ 08057-3130. The office can be reached at 609-267-9400 (phone) or 609-267-9457 (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 1730129974 directly on the NPPES registry website.

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