Individual provider Active NPI

Roger N Riechers, MD

  • Urology Physician
  • Hawthorne, NY
National Provider Identifier
1306886973
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
103955 Issued in NY
Practice address
19 Bradhurst Ave
Suite 700
Hawthorne, NY 10532-2140
Phone
(914) 593-7880
Fax
(914) 593-7857
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 103955 NY Primary
Pediatric Urology Physician 2088P0231X 103955 NY

Addresses

Primary practice location

19 Bradhurst Ave
Suite 700
Hawthorne, NY 10532-2140

Mailing address

PO Box 28064
New York, NY 10087-8064
Phone (914) 593-7880

Other identifiers 1

IdentifierTypeStateIssuer
00496286MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040419000235 NY Practitioner - Urology 2466447578 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103955NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Urology CurrentSince Mar 18, 2019 Accepting new patients
Optum Medical Care, P.C. Past Accepting new patients
Cardiology Consultantsof Westchester, PC Past Accepting new patients
Mt Kisco Surgery Center LLC PastSince Nov 1, 2002 Accepting new patients

Locations

480 Bedford Rd
Chappaqua, NY 10514
Phone (866) 997-5781

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

34 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 244-6787

300 Community Dr
Plandome, NY 11030

14 Technology Dr
Setauket, NY 11733
Phone (516) 444-1357

972 Brush Hollow Rd
Westbury, NY 11590

222 Westchester Ave
Ste G1
White Plains, NY 10604
Phone (877) 465-4845

Interoperability endpoints

  • Direct secure messaging: rogerriechers@nslijmedgr.allscriptsdirect.net

Organizations & group practices 4

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1306886973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28064",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100878064",
            "telephone_number": "914-593-7880",
            "fax_number": "914-593-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE",
            "address_2": "SUITE 700",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-593-7880",
            "fax_number": "914-593-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIECHERS",
        "first_name": "ROGER",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "103955",
            "primary": true
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NY",
            "license": "103955",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00496286",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

Verify at the official NPI Registry.