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

Jeffrey Kevin Riley, PA-C

Individual provider Physician Assistant · NPI 1558078444

Jeffrey Kevin Riley, PA-C is a Physician Assistant in New York, New York. Qualified in 2021, 5 years ago. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

955 5th Ave
New York, NY 10075-1738
Phone: (212) 734-9949
Fax: (212) 734-9894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 028598 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 028598

Record details

NPI number1558078444
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 1, 2022
Last updated in NPPESNovember 1, 2022
Certification dateOctober 30, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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