MATTHEW RAIDER MD LLC
NPI 1093952194
Family Medicine - Geriatric Medicine in Middletown, CT

Active since January 11, 2009
645 SAYBROOK RD, MIDDLETOWN, CT 06457(860) 767-4024 Get Directions Write a Review

NPPES record last updated: February 19, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Raider Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW RAIDER MD LLC (NPI 1093952194) is a healthcare organization registered as a geriatric medicine in Middletown, Connecticut and active in the NPI registry since January 2009. The organization lists Matthew J Raider, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1093952194
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameMATTHEW RAIDER MD LLC
Location Address645 SAYBROOK RDMiddletown, CT 06457-4746
Mailing Address645 Saybrook RdMiddletown, CT 06457-4746 · (860) 767-4024
Organization SubpartNo
Authorized OfficialMatthew J RaiderSole Proprietor · (860) 767-4024
Enumeration DateJanuary 11, 2009
Last NPPES UpdateFebruary 19, 2009
NPI 1093952194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License Licensed in CT · 22948
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
645 SAYBROOK RD, Middletown, CT 06457

Other Identifiers 2

Medicare PIND100000092
Medicare UPINB38569

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Geriatric Medicine)
645 SAYBROOK RD
MIDDLETOWN, CT 06457
Assisted Living Facility
645 SAYBROOK RD
MIDDLETOWN, CT 06457
Assisted Living Facility
645 SAYBROOK RD
MIDDLETOWN, CT 06457
Occupational Therapist
645 SAYBROOK RD
MIDDLETOWN, CT 06457

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Raider MD LLC's NPI number?

The NPI number for Matthew Raider MD LLC is 1093952194. It was assigned to this organization in the NPPES registry on January 11, 2009.

Where is Matthew Raider MD LLC located?

Matthew Raider MD LLC is located at 645 Saybrook Rd, Middletown, CT 06457. The listed phone number is (860) 767-4024.

What is Matthew Raider MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Matthew Raider MD LLC was last updated on February 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.