Richard B Adams, NP-C
Individual provider Active NPI Adult Health Nurse Practitioner · Wayne, NJ
NPI 1205183993 · NPPES record last updated Jul 1, 2013
Key facts
- NPI
- 1205183993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 26NJ00367700 (NJ)
- Practice address
- 246 Hamburg Tpke
Suite 201
Wayne, NJ 07470-2156 - Phone
- (973) 942-1141
- Fax
- (973) 942-1250
- NPI assigned
- Aug 13, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Josephs Physicians Healthcare Group Inc
Practice addresses (Care Compare)
246 Hamburg Tpke
Suite 201
Wayne, NJ 07470-2159
Phone (973) 754-2052
Hospital & facility affiliations
- St Joseph'S University Medical Center Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130430000376 | NJ | Practitioner - Nurse Practitioner | 8921245424 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Josephs Physicians Healthcare Group Inc | Current |
Accepting new patients | |
| St. Joseph'S Healthcare, Inc. | Current |
Accepting new patients | |
| Anthony Laneve, MD, LLC | Past | Accepting new patients |
Locations
703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054
11 Getty Ave
Paterson, NJ 07503
703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240
11 Getty Ave
Paterson, NJ 07503
Phone (973) 754-4200
246 Hamburg Tpke
Ste 201
Wayne, NJ 07470
246 Hamburg Tpke
Ste 202
Wayne, NJ 07470
999 McBride Ave
Ste B204
Woodland Park, NJ 07424
Phone (973) 256-5667
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00367700 | NJ | Yes |
Addresses
Primary practice location
246 Hamburg Tpke
Suite 201
Wayne, NJ 07470-2156
Mailing address
246 Hamburg Tpke
Suite 201
Wayne, NJ 07470-2156
Phone (973) 942-1141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0337323 | Medicaid | NJ |
Other providers in Wayne, NJ
- Acupunture One Wellness Center, LLC
- Sarah Adamchak
- Johnny Adamo
- Loreen Adamo
- Kerri E Adams
- Olutoyin Folake Adedeji
- Chloe Paige Adel
- Adelia Compounding LLC
- Jane Doris Adelman
- Oyinlola Adetola
All providers in Wayne, NJ · Adult Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.