Individual provider Active NPI

Richard I Stillman, M.D.

  • Specialist
  • Millburn, NJ
National Provider Identifier
1194728030
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA 054103 Issued in NJ
Practice address
37 E Willow St
Millburn, NJ 07041-1416
Phone
(973) 912-8111
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA 054103 NJ Primary

Addresses

Primary practice location

37 E Willow St
Millburn, NJ 07041-1416

Mailing address

PO Box 15275
Newark, NJ 07192-5275
Phone (201) 804-2800

Other identifiers 1

IdentifierTypeStateIssuer
4510500MedicaidNJ

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
I20040811001023 NJ Practitioner - Anesthesiology 4385616168 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA 054103NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ambulatory Anesthesiologists LLC Specialist CurrentSince Nov 7, 2003 Accepting new patients
Morris Anesthesia Group, PA Specialist PastSince Mar 20, 2022 Accepting new patients
Morris Anesthesia Group, PA Past Accepting new patients

Locations

400 W Blackwell St
Dover, NJ 07801
Phone (973) 537-3818

37 E Willow St
Millburn, NJ 07041
Phone (973) 821-3387

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194728030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15275",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071925275",
            "telephone_number": "201-804-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 E WILLOW ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411416",
            "telephone_number": "973-912-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLMAN",
        "first_name": "RICHARD",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA 054103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4510500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.