Richmond Primary Care Specialists, PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

211722 Issued in NY

Legal business name

RICHMOND PRIMARY CARE SPECIALISTS, PC

Practice address

305 Seguine Ave
Suite 1
Staten Island, NY 10309-3730

Phone

(718) 967-8300

Fax

(718) 967-8335

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Miguel A Tirado, MDNPI 1922072313

Title

President

Phone

(718) 967-8300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CECFAA

Practitioners 5

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

• Miguel Antonio Tirado, M.D.

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1922072313

  NY

  Medicare reassignment Care Compare group Authorized official
• Kathryn Kirpan, MD

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1891778270

  NY

  Medicare reassignment Care Compare group
• Jennifer Mary Becker, PA

  • Physician Assistant
  • Staten Island, NY
  • NPI 1891898755

  NY

  Medicare reassignment
• Austin Epstein

  • Medical Physician Assistant
  • Staten Island, NY
  • NPI 1245539949

  NY

  Medicare reassignment
• Keith Kouroupos, PA-C

  • Medical Physician Assistant
  • Staten Island, NY
  • NPI 1245306174

  NY

  Medicare reassignment

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1013048271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SEGUINE AVE",
            "address_2": "SUITE 1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093730",
            "telephone_number": "718-967-8300",
            "fax_number": "718-967-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SEGUINE AVE",
            "address_2": "SUITE 1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093730",
            "telephone_number": "718-967-8300",
            "fax_number": "718-967-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND PRIMARY CARE SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "TIRADO",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-967-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "211722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Staten Island, NY
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.