Individual provider Active NPI

Richard Todd Paris, MD

  • Family Medicine Physician
National Provider Identifier
1174523112
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06102500 Issued in NJ
Practice address
1 Diamond Hill Road
Berkeley HTS, NEW JERSEY 07922
UM
Phone
(908) 277-8878
Fax
(908) 673-7132
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA06102500 NJ Primary

Addresses

Primary practice location

1 Diamond Hill Road
Berkeley HTS, NEW JERSEY 07922
UM

Mailing address

PO Box 683
New Providence, NJ 07974-0683
Phone (908) 277-8878

Other identifiers 1

IdentifierTypeStateIssuer
6953301MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040803000676 NJ Practitioner - Family Practice 9436120524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Chatham Hills Subacute Care Center Nursing home, Chatham, NJ, CCN 315120
  • McAuley Hall Health Care Cente Nursing home, Watchung, NJ, CCN 315337

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Jan 23, 2010 Accepting new patients
Summit Medical Group PA CurrentSince Jan 23, 2010 Accepting new patients
Faculty Family Practice at Somerset, LLC Family Medicine Past Accepting new patients
Paris Medical Services, LLC Family Medicine PastSince Nov 7, 2009 Accepting new patients
Somerset Medical Center Family Medicine Past Accepting new patients
Practice Associates,Inc Family Medicine Past Accepting new patients
Summit Medical Group, Inc Family Medicine Past Accepting new patients
Specialty Care of Practice Associates,PA Past Accepting new patients
Medical Diagnostic Associates, PA Family Medicine Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

Interoperability endpoints

  • Direct secure messaging: richard.paris.1@2983.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1174523112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079740683",
            "telephone_number": "908-277-8878",
            "fax_number": "908-673-7132"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "1 DIAMOND HILL ROAD",
            "city": "BERKELEY HTS",
            "state": "NEW JERSEY",
            "postal_code": "07922",
            "telephone_number": "908-277-8878",
            "fax_number": "908-673-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIS",
        "first_name": "RICHARD",
        "middle_name": "TODD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06102500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6953301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.