Individual provider Active NPI

Paul Stephen Riotta, PA

  • Physician Assistant
  • Charleston, SC
National Provider Identifier
1164737532
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5311 Issued in SC
Practice address
2093 Henry Tecklenburg Dr Ste 200E
Charleston, SC 29414-5742
Phone
(843) 958-2500
Fax
(843) 958-2680
NPI assigned
Aug 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5311 SC Primary
Physician Assistant 363A00000X 25MP00240200 NJ

Addresses

Primary practice location

2093 Henry Tecklenburg Dr Ste 200E
Charleston, SC 29414-5742

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Other practice location 1

547 New Rd
Somers Point, NJ 08244-2038
Phone (609) 927-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110119000223 NJ Practitioner - Physician Assistant 9638358922 Reassigns benefits to 1 organization
I20240830003234 SC Practitioner - Physician Assistant 9638358922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2075 Eagle Landing Blvd
N Charleston, SC 29406-4074
Phone (843) 789-1800

2093 Henry Tecklenburg Dr
Suite 200
Charleston, SC 29414-5742
Phone (843) 958-2500

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 723-6426

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 723-6426

3500 N Hwy 17
Mt Pleasant, SC 29466-9123
Phone (843) 723-6426

4278 Ladson Rd
Ladson, SC 29456-5452
Phone (844) 975-6683

594 Lone Tree Dr
Mount Pleasant, SC 29464-8170

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5311SCMDPhysical Therapist
25MP00240200NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network CurrentSince Jul 15, 2024 Accepting new patients
Roper St. Francis Specialty Physicians Physician Assistant CurrentSince Feb 1, 2026 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Jul 6, 2011 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Jul 15, 2024 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Jul 6, 2011 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

2500 English Creek Ave
Ste 1300
Egg Hbr Twp, NJ 08234
Phone (609) 677-6060

999 Route 73 N
Ste 401
Marlton, NJ 08053

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

833 Chestnut St
Ste 1402
Philadelphia, PA 19107
Phone (267) 339-3543

1711 Clements Ferry Rd
Unit 112
Charleston, SC 29492
Phone (843) 606-7893

2093 Henry Tecklenburg Dr
Ste 200E
Charleston, SC 29414
Phone (843) 766-6494

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

594 Lone Tree Dr
Bldg 6
Mt Pleasant, SC 29464
Phone (843) 606-8210

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

Interoperability endpoints

  • Direct secure messaging: priotta2639116@direct.bsmhealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1164737532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2093 HENRY TECKLENBURG DR STE 200E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145742",
            "telephone_number": "843-958-2500",
            "fax_number": "843-958-2680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "547 New Rd",
            "address_purpose": "LOCATION",
            "city": "Somers Point",
            "state": "NJ",
            "postal_code": "082442038",
            "country_code": "US",
            "telephone_number": "609-927-9200",
            "fax_number": "609-927-1616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIOTTA",
        "first_name": "PAUL",
        "middle_name": "STEPHEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-10",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5311",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00240200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.