Riley, Roth Leon

Riley, Roth Leon is an sole proprietor health care provider with primary practice located at 23-08 Maple Ave , Fair Lawn NJ 07410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Riley, Roth Leon can be contacted via phone (201) 794-4500.

Contact Information

Primary practice address
23-08 Maple Ave Fair Lawn NJ 07410
Phone: (201) 794-4500
Fax: (229) 271-3839
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X GA025656 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA09551100 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 025656 Georgia

Profile Details

NPI number 1831241264
LBN Legal business name Riley, Roth Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Sep 17th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831241264 NPPES
Georgia Other GA025656 GA LICENSE
Georgia MEDICAID 000280486B GA LICENSE
Georgia MEDICAID 00280486B GA LICENSE

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