Individual provider Active NPI

Jacqueline Riedel, DO

  • Family Medicine Physician
  • Haddonfield, NJ
National Provider Identifier
1215173513
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB08820000 Issued in NJ
Practice address
3 S Haddon Ave Ste 4
Haddonfield, NJ 08033-1882
Phone
(856) 531-7241
Fax
(856) 804-9720
NPI assigned
Dec 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB08820000 NJ Primary

Addresses

Primary practice location

3 S Haddon Ave Ste 4
Haddonfield, NJ 08033-1882

Mailing address

3 S Haddon Ave Ste 4
Haddonfield, NJ 08033-1882
Phone (856) 531-7241

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jvriedel@magnoliamidlife.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110906000062 NJ Practitioner - Family Practice 1355511122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

2309 E Evesham Rd
Voorhees, NJ 08043-1559

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Nov 1, 2017 Accepting new patients
Virtua Medical Group, PA Family Medicine CurrentSince Nov 1, 2017 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

303 Lippincott Dr
Marlton, NJ 08053

1605 E Evesham Rd
Ste 100A
Voorhees, NJ 08043
Phone (856) 741-7100

Interoperability endpoints

  • Direct secure messaging: jriedel17502@directvirtua.org

Organizations & group practices 2

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": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1215173513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 S HADDON AVE STE 4",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331882",
            "telephone_number": "856-531-7241",
            "fax_number": "856-815-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 S HADDON AVE STE 4",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331882",
            "telephone_number": "856-531-7241",
            "fax_number": "856-804-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDEL",
        "first_name": "JACQUELINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08820000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvriedel@magnoliamidlife.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3 S Haddon Ave Ste 4",
            "city": "Haddonfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080331882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

Verify at the official NPI Registry.