Mr. Roth L Riley, MD
Family Medicine in Fair Lawn, New Jersey
1831241264- Practice location
- 23-08 Maple Ave, Fair Lawn, NJ 07410
- Phone
- 201-794-4500
- Fax
- 229-271-3839
- Last updated
- September 17, 2014
Roth Leon Riley is a Family Medicine based in Fair Lawn, NJ. Roth Leon Riley practices in Fair Lawn, NJ and has the professional credentials of MD. The NPI Number for Roth Leon Riley is 1831241264 and holds a License No. GA025656 (GA). The current practice location address for Roth Leon Riley is 23-08 Maple Ave, Fair Lawn, NJ 07410 and can be reached out via phone at 201-794-4500 and via fax at 229-271-3839.
Provider Profile Details
- NPI Number
- 1831241264
- Provider Name
- Roth Leon Riley
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 23-08 Maple Ave, Fair Lawn, NJ 07410
- Phone Number
- 201-794-4500
- Fax Number
- 229-271-3839
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 17, 2007
- Last Update Date
- September 17, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 23-08 Maple Ave
Fair Lawn, NJ 07410 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410
- Phone Number
- 201-794-4500
- Fax Number
- 229-271-3839
Provider Business Mailing Address Details
- Address
- 23-08 Maple Ave
Fair Lawn, NJ 07410 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410
- Phone Number
- 201-794-4500
- Fax Number
- 229-271-3839
License Information
- License Number (1)
- GA025656
- License State (1)
- GA
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 25MA09551100
- License State (2)
- NJ
- Taxonomy (2)
- Family Medicine · 207Q00000X
- License Number (3)
- 025656
- License State (3)
- GA
- Taxonomy (3)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Roth L Riley, MD?
The NPI number of Mr. Roth L Riley, MD is 1831241264. It was assigned on January 17, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Roth L Riley, MD?
Mr. Roth L Riley, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in GA under license number GA025656.
Where does Mr. Roth L Riley, MD practice?
The practice location is 23-08 Maple Ave, Fair Lawn, NJ 07410. The office can be reached at 201-794-4500 (phone) or 229-271-3839 (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 1831241264 directly on the NPPES registry website.