Right at Home Primary Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RIGHT AT HOME PRIMARY CARE LLC

Practice address

125 Crystal Lake Dr
Egg Harbor Township, NJ 08234-8706

Phone

(917) 226-9441

NPI assigned

May 18, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Randy PatiagNPI 1174816557

Title

Owner

Phone

(917) 226-9441

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randy Patiag

  • Physical Therapist
  • Hackensack, NJ
  • NPI 1174816557
  Medicare reassignment NPD Authorized official
• Cristina Mendoza Patiag, APN

  • Nurse Practitioner
  • Vineland, NJ
  • NPI 1235709916
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1003553280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CRYSTAL LAKE DR",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082348706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CRYSTAL LAKE DR",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082348706",
            "telephone_number": "917-226-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIGHT AT HOME PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "PATIAG",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-226-9441"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Reznick
• Bridgette M Richardson, LCSW
• Charles M Richwine IV, D.O.
• Lori Tierno Richwine, D.O.
• Meghan Riess
• Jessica Ring
• Neydin Rivera-Torres, CNM
• Yanitza Rivera
• Gia Rivero, RN
• Alrene E Robinson-Campbell, DMD

• Clinic/Center in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.