SEAN PATRICK RILEY NP
NPI 1619567997
Nurse Practitioner - Gerontology in Somerville, NJ
About Sean Patrick Riley Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEAN PATRICK RILEY NP (NPI 1619567997) is an individual gerontology provider in Somerville, New Jersey, licensed in New Jersey (26NJ01319400) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sean Patrick Riley Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Sean Riley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Orange, NJ 07052
- Reassigned Medicare billing, New Jersey enrollment
- 428 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08876 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOMERVILLE, NJ 08876
SOMERVILLE, NJ 08876
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 Sean Riley's NPI number?
The NPI number for Sean Riley is 1619567997. It was assigned to this individual provider in the NPPES registry on January 21, 2021.
Where is Sean Riley located?
Sean Riley practices at 128 Rehill Ave Ste 1100, Somerville, NJ 08876. The listed phone number is (908) 243-8647.
What is Sean Riley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Sean Riley enrolled in Medicare?
Yes. Sean Riley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Sean Riley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sean Riley reassigns Medicare benefits to Rwjbh Primary Care Services (West Orange, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sean Riley accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Sean Riley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sean Riley was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Sean Patrick Riley, NP · NPI 1619567997
Gerontology physician in Somerville, New Jersey. Individual provider, active in the CMS NPPES registry since January 21, 2021.
## Identity
- **NPI:** 1619567997 (Entity type: Individual)
- **Enumerated:** January 21, 2021
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 26NJ01319400 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 128 REHILL AVE STE 1100, Somerville, NJ 08876-2519
- **Phone:** (908) 243-8647
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Rwjbh Primary Care Services (NPI 1265037501, West Orange, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619567997) · Data from the CMS NPPES public registry.