NPIMap

Individual provider Active NPI

Albert Riddle, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Haworth, NJ
National Provider Identifier
1699724880
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MA177617 Issued in NJ
Practice address
401 Sylvan PL
Haworth, NJ 07641-1729
Phone
(201) 518-1818
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MA177617 NJ Primary

Addresses

Primary practice location

401 Sylvan PL
Haworth, NJ 07641-1729

Mailing address

PO Box 29
Haworth, NJ 07641-0029
Phone (201) 512-9494

Other identifiers 1

IdentifierTypeStateIssuer
01416926MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040326000381 NY Practitioner - Geriatric Medicine 7113819962 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA177617NJMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Medical Health Choices, P.C. CurrentSince Mar 1, 2020 Accepting new patients
Cardinal Hayes Home for Children Past Accepting new patients
BP Immediate Medical Care, PC Past Accepting new patients
Garden State Geriatrics PLLC Geriatric Medicine PastSince May 2, 2006 Accepting new patients
Ncrnc LLC Past Accepting new patients
Poughkeepsie Crossings LLC Past Accepting new patients
Hudson Valley Care Partners LLC Past Accepting new patients

Locations

374 Violet Ave
Poughkeepsie, NY 12601
Phone (845) 240-7555

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hudson Valley Care Partners LLCHighland, NY, CCN 335399 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2004
May 1, 2004
The Pines at Poughkeepsie Center for Nursing and RehabilitationPoughkeepsie, NY, CCN 335440 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2000
Jul 16, 2025
King Street Home IncRye Brook, NY, CCN 335447 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2013
Mar 19, 2025
Hudson Valley HospicePoughkeepsie, NY, CCN 331521 Hospice W-2 Managing Employee (2%) Nov 1, 2022

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1699724880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "HAWORTH",
            "state": "NJ",
            "postal_code": "076410029",
            "telephone_number": "201-512-9494",
            "fax_number": "201-512-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SYLVAN PL",
            "city": "HAWORTH",
            "state": "NJ",
            "postal_code": "076411729",
            "telephone_number": "201-518-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MA177617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01416926",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haworth, NJ

Sources for this page

Verify at the official NPI Registry.