Individual provider Active NPI

Bridgette Latanya Riley, NP

  • Family Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1265786172
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337458 Issued in NY
Practice address
210 Westchester Ave
White Plains, NY 10604-2901
Phone
(914) 681-3100
Fax
(914) 682-6588
NPI assigned
Oct 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 006950 CT
Family Nurse Practitioner 363LF0000X 337458 NY Primary

Addresses

Primary practice location

210 Westchester Ave
White Plains, NY 10604-2901

Mailing address

2700 Westchester Ave
Purchase, NY 10577-2547
Phone (914) 607-5730

Other practice location 1

1 Theall Rd
Rye, NY 10580-1404
Phone (914) 848-8890

Other practice location 2

1084 N Broadway
Yonkers, NY 10701-1107
Phone (914) 848-8000

Other practice location 3

644 W Putnam Ave
Greenwich, CT 06830-6088
Phone (203) 210-2810

Other practice location 4

171 Huguenot St
New Rochelle, NY 10801-7760
Phone (914) 607-5890

Other practice location 5

73 Market St
Yonkers, NY 10710-7616
Phone (914) 848-8088

Other practice location 6

8915 Parsons Blvd
apt 10 L
Jamaica, NY 11432-6005
Phone (917) 449-7248

Other practice location 7

8915 Parsons Blvd
apt 10 L
Jamaica, NY 11432-6005
Phone (917) 449-7248

Other identifiers 1

IdentifierTypeStateIssuer
04714334MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20160511000052 NY Practitioner - Nurse Practitioner 8123317401 Reassigns benefits to 2 organizations
I20170331000977 CT Practitioner - Nurse Practitioner 8123317401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Group, P.CGroup PAC ID 6406752963, 410 clinicians

Practice addresses (Care Compare)

210 Westchester Ave
White Plains, NY 10604-2901
Phone (914) 682-0700

644 W Putnam Ave
Greenwich, CT 06830-6088
Phone (203) 622-0303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
337458NYMDOtology & Neurotology Physician
006950CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Multi-Specialty CurrentSince Oct 4, 2017 Accepting new patients
Westchester Medical Group, P.C. Multi-Specialty CurrentSince Feb 1, 2017 Accepting new patients
The Westchester Medical Group PC CurrentSince Feb 1, 2017 Accepting new patients
The Institute for Family Health Multi-Specialty Current Accepting new patients
LTC Provider Management Corp Multi-Specialty PastSince Dec 18, 2016 Accepting new patients

Locations

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

644 W Putnam Ave
Greenwich, CT 06830
Phone (203) 210-2880

279 Main St
Ste 101
New Paltz, NY 12561
Phone (845) 255-2930

171 Huguenot St
New Rochelle, NY 10801
Phone (914) 607-5820

690 Amsterdam Ave
New York, NY 10025
Phone (212) 865-4104

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

2700 Westchester Ave
Purchase, NY 10577
Phone (914) 607-5730

1 Theall Rd
Rye, NY 10580
Phone (914) 848-8700

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

73 Market St
Yonkers, NY 10710
Phone (914) 848-8030

1084 N Broadway
Yonkers, NY 10701
Phone (914) 848-8000

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: bridgette.riley.1@21260.direct.athenahealth.com
  • Direct secure messaging: briley@hiemail.healtheconnections.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265786172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTCHESTER AVE",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772547",
            "telephone_number": "914-607-5730",
            "fax_number": "914-457-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WESTCHESTER AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042901",
            "telephone_number": "914-681-3100",
            "fax_number": "914-682-6588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Theall Rd",
            "address_purpose": "LOCATION",
            "city": "Rye",
            "state": "NY",
            "postal_code": "105801404",
            "country_code": "US",
            "telephone_number": "914-848-8890",
            "fax_number": "914-848-8891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1084 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107011107",
            "country_code": "US",
            "telephone_number": "914-848-8000",
            "fax_number": "914-848-8815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "644 W Putnam Ave",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068306088",
            "country_code": "US",
            "telephone_number": "203-210-2810",
            "fax_number": "203-210-2811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "171 Huguenot St",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108017760",
            "country_code": "US",
            "telephone_number": "914-607-5890",
            "fax_number": "914-607-5891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "73 Market St",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107107616",
            "country_code": "US",
            "telephone_number": "914-848-8088",
            "fax_number": "914-848-8068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8915 Parsons Blvd",
            "address_2": "apt 10 L",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114326005",
            "country_code": "US",
            "telephone_number": "917-449-7248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8915 Parsons Blvd",
            "address_2": "apt 10 L",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114326005",
            "country_code": "US",
            "telephone_number": "917-449-7248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "BRIDGETTE",
        "middle_name": "LATANYA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "006950",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04714334",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.