Organization Active NPI

Richard Di Monte DO PC

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1073830923
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RICHARD DI MONTE DO PC
Practice address
7418 Buist Ave
Philadelphia, PA 19153-1403
Phone
(215) 724-7086
Fax
(215) 365-4029
NPI assigned
Apr 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Authorized official

Name
Dr. Richard Michael Di Monte Sr., DO
Title
President
Phone
(215) 724-7086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7418 Buist Ave
Philadelphia, PA 19153-1403

Mailing address

7418 Buist Ave
Philadelphia, PA 19153-1403
Phone (215) 724-7086

Other identifiers 1

IdentifierTypeStateIssuer
0596072MedicaidPA

National Provider Directory

National Provider Directory

Locations

7418 Buist Ave
Philadelphia, PA 19153
Phone (215) 724-7086

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1073830923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7418 BUIST AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191531403",
            "telephone_number": "215-724-7086",
            "fax_number": "215-365-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7418 BUIST AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191531403",
            "telephone_number": "215-724-7086",
            "fax_number": "215-365-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD DI MONTE DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "DI MONTE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-724-7086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0596072",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.