Evan Andrew Rieder, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

253916 Issued in NY

Practice address

36 N Moore St
New York, NY 10013-2438

Phone

(212) 540-5260

NPI assigned

Apr 25, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2022 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erieder681652@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.

• Evan Rieder MD PC

  • Procedural Dermatology Physician
  • New York, NY
  • NPI 1669223798
  NPD Authorized official
• New York University

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1952392961
  NPD (past)

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1376718809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 N MOORE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132438",
            "telephone_number": "212-540-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 N MOORE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132438",
            "telephone_number": "212-540-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDER",
        "first_name": "EVAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-25",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "253916",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "253916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Riebling
• Zacharias Rieck
• Georgia Riedel, P.T.
• Michele Elaine Riedel, LCSW
• Bruna Rieder, PSY.D.
• Sarah Rieder
• Joshua Rieders, DPT
• Julianne Margaret Rieders
• Katie Riedesel
• Alice Riegel, DDS

• Procedural Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.