Organization Active NPI

Riddle Endocrinology & Metabolism Associates, PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Aston, PA
National Provider Identifier
1164659140
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD436772 Issued in PA
Legal business name
RIDDLE ENDOCRINOLOGY & METABOLISM ASSOCIATES, PC
Practice address
2901 Dutton Mill Rd
Ste 110
Aston, PA 19014-2849
Phone
(610) 876-2300
Fax
(610) 876-3004
NPI assigned
Jun 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rex Keith Kessler, MD
Title
Manager
Phone
(610) 876-2300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD035193E PA
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X MD436772 PA Primary

Addresses

Primary practice location

2901 Dutton Mill Rd
Ste 110
Aston, PA 19014-2849

Mailing address

PO Box 1897
Boothwyn, PA 19061-7897
Phone (610) 876-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091104000447 PA Part B Supplier - Clinic/Group Practice 5193863579 Receives reassigned benefits from 2 practitioners
Practice locations: Aston, PA

National Provider Directory

National Provider Directory
Tax ID family
Riddle Endocrinology Metabolism Assoc PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1164659140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1897",
            "city": "BOOTHWYN",
            "state": "PA",
            "postal_code": "190617897",
            "telephone_number": "610-876-2300",
            "fax_number": "610-876-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 DUTTON MILL RD",
            "address_2": "STE 110",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190142849",
            "telephone_number": "610-876-2300",
            "fax_number": "610-876-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDDLE ENDOCRINOLOGY & METABOLISM ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-876-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD035193E",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD436772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.