Derrick Richard

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

576 Logan St Ste 2
Brooklyn, NY 11208-3702

Phone

(929) 526-8414

Fax

(646) 905-8487

NPI assigned

Mar 7, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Urgent Housing Initiatives Inc

  • Case Management Agency
  • Brooklyn, NY
  • NPI 1114301983
  NPD Authorized official

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1114627296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 LOGAN ST STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083702",
            "telephone_number": "929-526-8414",
            "fax_number": "646-905-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 LOGAN ST STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083702",
            "telephone_number": "929-526-8414",
            "fax_number": "646-905-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "DERRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Link MD
• Richard Mandelbaum MD PC
• Richard P Orsini
• Richard S. Berry MDPC
• Darline Richard
• Faiga Esther Richard, MSED
• Fleurette Richard
• Gisele Freda Richard, DDS
• Jean-Baptiste Kerrold Richard, PA
• Marie Chrissie Richard

• Case Manager/Care Coordinator in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.