Riley Wedlake, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

059647 Issued in NY

Practice address

2 Medical Park Dr Ste 6
West Nyack, NY 10994-1966

Phone

(845) 675-8008

NPI assigned

Apr 29, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rwedlake691813@nychhc.direct-ci.com

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.

• Harlem Medical Associates PC

  • General Practice Physician
  • New York, NY
  • NPI 1487957692
  Medicare reassignment NPD
• New York City Health and Hospitals Corporation

  dba Harlem Hospital Center

  • General Acute Care Hospital
  • New York, NY
  • NPI 1033124961
  NPD (past)
• River Point Dental Group, LLP

  dba River Point Dental Group and Orthodontics

  • General Practice Dentistry
  • Sheridan, CO
  • NPI 1720242902
  NPD (past)

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1336559475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 LEFURGY AVE",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221206",
            "telephone_number": "509-994-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK DR STE 6",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941966",
            "telephone_number": "845-675-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDLAKE",
        "first_name": "RILEY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "059647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheery Villasenor, APRN
• Kay Ellen Vitelli-Hagan, LCSW
• Sorel Vladu, D.O.
• Sonia Wagner
• Lauren Walters, BA
• James Joseph Weiden, RPH
• Lynne Beth Weissman, NP
• West Nyack Dental, PC
• Lukas C Westbrook, LMSW
• Monica R Whelan, COTA

• Oral and Maxillofacial Surgery (Dentist) in West Nyack, NY
• Providers in West Nyack, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.