Organization Active NPI

Richmond OBGYN Associates PC

  • Clinic/Center
  • Staten Island, NY
National Provider Identifier
1164549093
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RICHMOND OBGYN ASSOCIATES PC
Practice address
5 Coddington Ave
Staten Island, NY 10306-4305
Phone
(718) 351-1350
Fax
(718) 351-1271
NPI assigned
Mar 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Authorized official

Name
Dr. Radha Syed, MDNPI 1790707263
Title
President
Phone
(718) 351-1350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 144422 NY
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5 Coddington Ave
Staten Island, NY 10306-4305

Mailing address

5 Coddington Ave
Staten Island, NY 10306-4305
Phone (718) 351-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050307000491 NY Part B Supplier - Clinic/Group Practice 7315991908 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1164549093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CODDINGTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064305",
            "telephone_number": "718-351-1350",
            "fax_number": "718-351-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CODDINGTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064305",
            "telephone_number": "718-351-1350",
            "fax_number": "718-351-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND OBGYN ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-24",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "RADHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-351-1350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "144422",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.