Individual
KENNETH J RIEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 MAIN ST, CHATHAM, NJ 07928-2431
(973) 635-0800
(973) 635-6254
Mailing address
40 MAIN ST, CHATHAM, NJ 07928-2431
(973) 635-0800
(973) 635-6254
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA08296300
NJ
207XS0117X
Orthopaedic Surgery of the Spine Physician
25MA08579500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000485768
ANTHEM
KY
01
—
000000495770
ANTHEM (UNIV ORTHO ASSOC)
KY
01
—
01062330A
PHYS.LICENSE
IN
01
—
01062330B
CSR
IN
05
—
200828910
—
IN
01
—
25MA08296300
LICENSE
NJ
01
—
2785649000
PASSPORT ADVANTAGE
KY
01
—
2785663000
PASSPORT ADVANTAGE (UOA)
KY
01
—
40285
PHYSICIAN LICENSE
KY
01
—
50012858
PASSPORT (SPINE INSTITUTE
KY
01
—
50012859
PASSPORT (UNIV ORTHO ASSO
KY
05
—
64125370
—
KY
01
—
BR9641172
DEA
IN
01
—
BR9816717
DEA
KY
01
—
P00384745
RAILROAD MEDICARE
KY
Enumeration date
07/15/2006
Last updated
02/18/2026
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