Organization Active NPI

Richard M Seldes M D P C

  • Orthopaedic Surgery Physician
  • Rockleigh, NJ
National Provider Identifier
1386735454
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
216190 Issued in NY
Legal business name
RICHARD M SELDES M D P C
Practice address
4 Rose Haven LN
Rockleigh, NJ 07647-2720
Phone
(212) 604-1367
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Amantina Lora
Title
Office Manager
Phone
(212) 604-1367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 216190 NY Primary

Addresses

Primary practice location

4 Rose Haven LN
Rockleigh, NJ 07647-2720

Mailing address

PO Box 27881
New York, NY 10087-7881

Other identifiers 3

IdentifierTypeStateIssuer
06076OtherNYGHI MEDICARE
111860OtherNJMEDICARE NEW JERSEY
P00224589OtherNYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040309000457 NY Part B Supplier - Clinic/Group Practice 6103714357 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY; Rego Park, NY

National Provider Directory

National Provider Directory

Locations

26 Court St
Brooklyn, NY 11242
Phone (718) 283-8225

6967 108th St
Fl 2
Forest Hills, NY 11375
Phone (718) 947-3332

6860 Austin St
Ste 5
Forest Hills, NY 11375
Phone (718) 400-9900

740 Broadway
Ste 605
New York, NY 10003
Phone (212) 400-6633

9525 Queens Blvd
Ste 2
Rego Park, NY 11374
Phone (718) 459-7700

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1386735454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27881",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100877881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ROSE HAVEN LN",
            "city": "ROCKLEIGH",
            "state": "NJ",
            "postal_code": "076472720",
            "telephone_number": "212-604-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M SELDES M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "LORA",
        "authorized_official_first_name": "AMANTINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "212-604-1367"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "216190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE",
            "identifier": "06076",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NEW JERSEY",
            "identifier": "111860",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00224589",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockleigh, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.

Verify at the official NPI Registry.