Individual provider Active NPI

Richard A Winters, MD

  • Psychiatry Physician
  • Paramus, NJ
National Provider Identifier
1114092236
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
027902 Issued in NJ
Practice address
29 North Farview Avenue
Paramus, NJ 07652-2717
Phone
(201) 843-4944
Fax
(201) 265-7647
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 027902 NJ Primary
Psychiatry Physician 2084P0800X 116388 NY

Addresses

Primary practice location

29 North Farview Avenue
Paramus, NJ 07652-2717

Mailing address

29 N Farview Ave
Paramus, NJ 07652-2738
Phone (201) 843-4944

Other identifiers 1

IdentifierTypeStateIssuer
1512005MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101014000103 NY Practitioner - Psychiatry 3678765294 Practice locations: New York, NY
I20111228000491 NJ Practitioner - Psychiatry 3678765294 Practice locations: Paramus, NJ

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York Medical College, 1972
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

201 E 87TH St
Apt 12B
New York, NY 10128-3214
Phone (212) 744-1346

22 Madison Ave
Suite 106
Paramus, NJ 07652-2721
Phone (201) 843-4944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
027902NJMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1114092236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 N FARVIEW AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522738",
            "telephone_number": "201-843-4944",
            "fax_number": "201-265-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NORTH FARVIEW AVENUE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522717",
            "telephone_number": "201-843-4944",
            "fax_number": "201-265-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "027902",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "116388",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.