Active NPI
Roy Rieser
- Anesthesiologist Assistant
- Coconut Creek, FL
National Provider Identifier
1689506073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 135
- Practice address
- 3202 Portofino PT Apt O2
Coconut Creek, FL 33066-1246 - Phone
- (718) 705-2134
- NPI assigned
- Jun 1, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 135 | VT | Primary |
Addresses
Primary practice location
3202 Portofino PT Apt O2
Coconut Creek, FL 33066-1246
Mailing address
3202 Portofino PT Apt O2
Coconut Creek, FL 33066-1246
Phone (718) 705-2134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135 | VT | MD | Anesthesiologist Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1689506073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 PORTOFINO PT APT O2",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330661246",
"telephone_number": "718-705-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3202 PORTOFINO PT APT O2",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330661246",
"telephone_number": "718-705-2134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIESER",
"first_name": "ROY",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-06-01",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "VT",
"license": "135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.