Individual provider Active NPI

Rebecca Riordan, PA-C

  • Physician Assistant
  • Hackettstown, NJ
National Provider Identifier
1912832957
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone
(908) 850-6800
NPI assigned
Jun 12, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X NJ Primary

Addresses

Primary practice location

651 Willow Grove St
Hackettstown, NJ 07840-1799

Mailing address

6 Chester PL
Chester, NJ 07930-2839

Other practice location 1

175 High St
Newton, NJ 07860-1004
Phone (973) 383-2121

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

NPI Registry JSON

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

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1912832957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CHESTER PL",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WILLOW GROVE ST",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401799",
            "telephone_number": "908-850-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 High St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "NJ",
            "postal_code": "078601004",
            "country_code": "US",
            "telephone_number": "973-383-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIORDAN",
        "first_name": "REBECCA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.