Active NPI
David M Richlin, M.D.
- Anesthesiology Physician
- East Stroudsburg, PA
National Provider Identifier
1093718934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD050521L
- Practice address
- 206 E Brown St
East Stroudsburg, PA 18301-3006 - Phone
- (570) 421-4000
- NPI assigned
- May 24, 2005
- Last updated
- Dec 15, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 05879500 | NJ | |
| Anesthesiology Physician | 207L00000X | MD050521L | PA | Primary |
Addresses
Primary practice location
206 E Brown St
East Stroudsburg, PA 18301-3006
Mailing address
11781 Lee Jackson Memorial Hwy
Suite 550
Fairfax, VA 22033-3309
Phone (571) 777-5102
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF2815 | Other | PA | RAILROAD MEDICARE GROUP |
| 6179509 | Medicaid | NJ | |
| P00427802 | Other | PA | RAILROAD MEDICARE |
| 1018324440001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05879500 | NJ | MD | Specialist |
| MD050521L | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County Wide Anesthesia Group, LLC | Specialist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Paterson, NJ
- NPI 1568465979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450137600000",
"number": "1093718934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11781 LEE JACKSON MEMORIAL HWY",
"address_2": "SUITE 550",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333309",
"telephone_number": "571-777-5102",
"fax_number": "703-563-6256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 E BROWN ST",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183013006",
"telephone_number": "570-421-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHLIN",
"first_name": "DAVID",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2015-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "05879500",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD050521L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "DF2815",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6179509",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00427802",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1018324440001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Stroudsburg, PA
- Resources for Human Development, Inc
- Resources for Human Development, Inc.
- Restorative Family Services LLC
- Jose Angel Reyes, LAPC
- Deborah Reynolds, M.A.
- Krista Riehl
- Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 01800)
- Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 00170)
- Leah Rivera, LCSW
- Evelyn Robles, CAADC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.