Richard Anthony Irlando, MD

Individual provider Active NPI Psychiatry Physician · Mendham, NJ

NPI 1407947419 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1407947419
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
MA39882 (NJ)
Practice address
18 Horizon Drive
Mendham, NJ 07945-2304
Phone
(973) 543-9926
Fax
(973) 543-1683
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA39882NJMDPsychiatry Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA39882 NJ Yes

Addresses

Primary practice location

18 Horizon Drive
Mendham, NJ 07945-2304

Mailing address

18 Horizon Drive
Mendham, NJ 07945-2304
Phone (973) 543-9926

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407947419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HORIZON DRIVE",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079452304",
            "telephone_number": "973-543-9926",
            "fax_number": "973-543-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HORIZON DRIVE",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079452304",
            "telephone_number": "973-543-9926",
            "fax_number": "973-543-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRLANDO",
        "first_name": "RICHARD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA39882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendham, NJ

All providers in Mendham, NJ · Psychiatry Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.