Joy Riantawan, PA-C
Physician Assistant in New York, NY. Individual provider (NPI-1).
NPI number1124549035
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1124549035
- Entity type
- Individual (NPI-1)
- Name
- Joy Riantawan
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2017
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
177 Fort Washington AveNew York, NY 10032-3733
Phone 212-305-5138
Mailing address
177 Fort Washington AveNew York, NY 10032-3733
Phone 212-305-5138
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