Richard A Dickstein, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA03680100 Issued in NJ

Practice address

210 W Atlantic Ave
Haddon Heights, NJ 08035-1715

Phone

(856) 547-0539

Fax

(856) 547-3178

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lourdes Cardiology Services

  • Cardiovascular Disease Physician
  • Camden, NJ
  • NPI 1417169772

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1376595108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WHITE HORSE PIKE",
            "address_2": "SUITE 112",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351927",
            "telephone_number": "856-547-0539",
            "fax_number": "856-547-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W ATLANTIC AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351715",
            "telephone_number": "856-547-0539",
            "fax_number": "856-547-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSTEIN",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA03680100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0698709",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dermatopathology Consultants, LLC
• Dermatopathology Consultants, LLC
• Margaret Mary Dezzi, CPNP
• Christina Maria Diamantis, PT, DPT
• Jennifer Julia Dibartolomeo, PSYD, MED
• Andrew J Dietz, D.D.S.
• Nancy Florence Difrancesco, L.P.C.
• Theresa Maria Disandro, DO
• Sangita K. Doshi, MD
• Joanna Dougherty, LCSW

• All providers in Haddon Heights, NJ
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.