Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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J Timothy Riley, MD

Individual provider Vascular Surgery Physician · NPI 1609076629

J Timothy Riley, MD is a Vascular Surgery in Syracuse, New York. Graduated from Jefferson Medical College of Thomas Jefferson University in 1999, 27 years ago. Practices with Queens Professional Medical Services of New York LLC, a 3-clinician group. Licensed in New York.

Years since qualifying
27
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

104 Union Ave Ste 1005
Syracuse, NY 13203-2761
Phone: (315) 424-0253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 245175 (NY)

Record details

NPI number1609076629
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 18, 2007
Last updated in NPPESJuly 20, 2007
Mailing address104 Union Ave., Ste 1005, Syracuse, NY 13203-2761

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 1999 (27 years in practice)
Group practice Queens Professional Medical Services Of New York Llc — 3 clinicians
Accepts Medicare assignment Not indicated
Practice locations11 on file with Medicare

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