J Timothy Riley, M D

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

245175 Issued in NY

Practice address

104 Union Ave.
Ste 1005
Syracuse, NY 13203-2761

Phone

(315) 424-0253

NPI assigned

Jul 18, 2007

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Vascular Surgery

Education

Jefferson Medical College of Thomas Jefferson University, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Queens Professional Medical Services of New York LLCGroup PAC ID 2062777527, 3 clinicians

Bushwick Medical of New York LLCGroup PAC ID 5092068262, 21 clinicians

Pelham Pkwy Professional Medical Services of New York LLCGroup PAC ID 9335404557, 10 clinicians

Pelham Pkwy Medical of New York LLCGroup PAC ID 4082976386, 23 clinicians

USA Medical of Bensonhurst LLCGroup PAC ID 3173746799, 3 clinicians

New York Professional Medical Services LLCGroup PAC ID 9537483565, 4 clinicians

Foxhurst Medical of New York LLCGroup PAC ID 6901151778, 21 clinicians

Fordham Medical of New York LLCGroup PAC ID 4284972621, 24 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 54)

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.

• New York Professional Medical Services LLC

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1639518848
  Medicare reassignment Care Compare group NPD
• Pelham Pkwy Medical of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1285156067
  Medicare reassignment Care Compare group NPD
• Pelham Pkwy Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1063926962
  Medicare reassignment Care Compare group NPD
• Queens Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • Forest Hills, NY
  • NPI 1184138091
  Medicare reassignment Care Compare group NPD
• Bushwick Medical of New York LLC

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1720565922
  Medicare reassignment Care Compare group
• Fordham Medical of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1205332905
  Medicare reassignment Care Compare group
• Foxhurst Medical of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1730547522
  Medicare reassignment Care Compare group
• USA Medical of Bensonhurst LLC

  • Specialist
  • Brooklyn, NY
  • NPI 1780028597
  Medicare reassignment Care Compare group
• Bushwick Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1003393299
  Medicare reassignment NPD
• Jamaica Queens Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • Jamaica, NY
  • NPI 1578080966
  Medicare reassignment NPD
• Norwood Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1528547312
  Medicare reassignment NPD
• Queens Medical of New York LLC

  • Vascular Surgery Physician
  • Forest Hills, NY
  • NPI 1730439704
  Medicare reassignment NPD

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1609076629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 UNION AVE.",
            "address_2": "STE 1005",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032761",
            "telephone_number": "315-424-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 UNION AVE.",
            "address_2": "STE 1005",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032761",
            "telephone_number": "315-424-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "J",
        "middle_name": "TIMOTHY",
        "credential": "M D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "245175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashok Rijhwani
• Phyllis Arlene Riles
• Mikayla Riley-Neighbors
• Kathleen Anne Riley-Tryon, LCSW
• Alicia Riley
• Kyle F Riley, CRNA
• Patrick Riley, FNP-C
• Nancy D. Rindfuss
• John Justin Ringhisen, PMHNP
• Thomas G Ringwood Jr., NP

• Vascular Surgery Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.