Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Triston Riley, PA-C

Individual provider Physician Assistant · NPI 1124959507

Triston Riley, PA-C is a Physician Assistant in Massena, New York. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026
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

31 Hospital Dr
Massena, NY 13662-1009
Phone: (315) 769-1099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Hospital Dr, Massena, NY 13662-1056 — (315) 769-4200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1124959507
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 26, 2026
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated

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