Individual provider Active NPI

Drew Ames Richman, D.P.M.

  • Podiatrist
  • Newburgh, NY
National Provider Identifier
1124024732
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N00 2356-1 Issued in NY
Practice address
1418 Route 300
Ste 6
Newburgh, NY 12550-2994
Phone
(845) 566-6664
Fax
(845) 566-1911
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N00 2356-1 NY Primary

Addresses

Primary practice location

1418 Route 300
Ste 6
Newburgh, NY 12550-2994

Mailing address

1418 Route 300
Ste 6
Newburgh, NY 12550-2992
Phone (845) 566-6664

Other identifiers 1

IdentifierTypeStateIssuer
00524869MedicaidNY

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

State licenses

LicenseStateTypeSpecialty
N00 2356-1NYMDPodiatrist
002356NYMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1124024732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 ROUTE 300",
            "address_2": "STE 6",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502992",
            "telephone_number": "845-566-6664",
            "fax_number": "845-566-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 ROUTE 300",
            "address_2": "STE 6",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502994",
            "telephone_number": "845-566-6664",
            "fax_number": "845-566-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMAN",
        "first_name": "DREW",
        "middle_name": "AMES",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N00 2356-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00524869",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.