Active NPI
Richmond OBGYN Associates PC
- Clinic/Center
- Staten Island, NY
National Provider Identifier
1164549093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Radha Syed, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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
- Richmond Medical Practice, PLLC
- Richmond Medical Rehabilitation Services, PLLC
- Richmond Medical Solutions, PC
- Richmond Medical Supply Inc
- Richmond Music Center
- Richmond Optometry PC
- Richmond Otolaryngology Group PC
- Richmond Pediatrics, P.C.
- Richmond Pharmacy & Surgicals Inc.
- Richmond Physical Therapy Rehabilitation PC
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.