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

Jonathan Van Buren Riddell, MD

Individual provider Urology Physician · NPI 1922391077

Jonathan Van Buren Riddell, MD is an Urology in Syracuse, New York. Qualified in 1994, 32 years ago. Practices with Adirondack Medical Center, a 85-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
32
Licensed in
NY
In the registry since
2011
Specialties on file
2
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

750 E Adams St
Syracuse, NY 13210-2342
Phone: (315) 464-6106
Fax: (315) 464-6107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Urology Physician (primary) Taxonomy 2088P0231X · Licence 270264 (NY)
Urology Physician Taxonomy 208800000X · Licence 270264 (NY)

Record details

NPI number1922391077
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2011
Last updated in NPPESJuly 19, 2013

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Adirondack Medical Center — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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