Mr Roth Leon Riley, MD | |
23-08 Maple Ave, Fair Lawn, NJ 07410 | |
(201) 794-4500 | |
(229) 271-3839 |
Full Name | Mr Roth Leon Riley |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 42 Years |
Location | 23-08 Maple Ave, Fair Lawn, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831241264 | NPI | - | NPPES |
GA025656 | Other | GA | GA LICENSE |
000280486B | Medicaid | GA | |
00280486B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | GA025656 (Georgia) | Secondary |
207Q00000X | Family Medicine | 25MA09551100 (New Jersey) | Secondary |
207Q00000X | Family Medicine | 025656 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
C G Health And Wellness Llc | 1557734456 | 2 |
Balanced Well Medical | 5294042719 | 2 |
Academy Spine And Physical Therapy Llc | 5597084715 | 6 |
Entity Name | Garden State Spine And Pain Institute Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023196094 PECOS PAC ID: 8729059134 Enrollment ID: O20040802000106 |
Entity Name | Academy Spine & Physical Therapy Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992919849 PECOS PAC ID: 5597084715 Enrollment ID: O20150508001810 |
Entity Name | Balanced Well Medical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154704831 PECOS PAC ID: 5294042719 Enrollment ID: O20150916001635 |
Entity Name | Priority Healthcare Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700465457 PECOS PAC ID: 2567862295 Enrollment ID: O20210616003005 |
Entity Name | C G Health & Wellness Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285356766 PECOS PAC ID: 1557734456 Enrollment ID: O20230223001272 |
Entity Name | Cedar Grove Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871215335 PECOS PAC ID: 6002281748 Enrollment ID: O20230411000547 |
Mailing Address | Practice Location Address |
---|---|
Mr Roth Leon Riley, MD 23-08 Maple Ave, Fair Lawn, NJ 07410 Ph: (201) 794-4500 | Mr Roth Leon Riley, MD 23-08 Maple Ave, Fair Lawn, NJ 07410 Ph: (201) 794-4500 |
Alexander Westcott, Family Medicine Medicare: Medicare Enrolled Practice Location: 31-00 Broadway, Fair Lawn, NJ 07410 Phone: 201-796-2255 Fax: 201-796-3711 | |
Long Qin Wang, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 31-00 Broadway, Fair Lawn, NJ 07410 Phone: 201-796-2255 | |
William Joseph Gallagher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2-22 Banta Pl, Fair Lawn, NJ 07410 Phone: 201-509-8600 | |
Samia Riaz Chaudry, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 04 Goldblatt Terrace, Fair Lawn, NJ 07410 Phone: 201-797-7129 Fax: 201-703-6982 | |
Kiran Syed, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 22-18 Broadway Ste 201, Fair Lawn, NJ 07410 Phone: 201-475-5050 Fax: 201-475-5522 | |
Dr. Salvatore Infantino, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11-26 Saddle River Rd, Fair Lawn, NJ 07410 Phone: 201-796-9225 Fax: 201-796-7606 | |
Mrs. Sadia R Chaudry, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 41-04 Goldblatt Ter, Fair Lawn, NJ 07410 Phone: 201-797-7129 Fax: 201-703-6982 |