Organization Active NPI

Edwin F. Richter, III, MD, LLC

  • Physical Medicine & Rehabilitation Physician
  • Stamford, CT
National Provider Identifier
1407997950
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
EDWIN F. RICHTER, III, MD, LLC
Practice address
32 Strawberry Hill CT
4TH Floor Suite 9
Stamford, CT 06902-2594
Phone
(203) 316-0610
NPI assigned
Feb 9, 2007
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Edwin F. Richter III, MDNPI 1770594715
Title
Member
Phone
(203) 316-0610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

32 Strawberry Hill CT
4TH Floor Suite 9
Stamford, CT 06902-2594

Mailing address

32 Strawberry Hill CT
4TH Floor Suite 9
Stamford, CT 06902-2594
Phone (203) 316-0610

Other identifiers 1

IdentifierTypeStateIssuer
004250031MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050802000584 CT Part B Supplier - Clinic/Group Practice 2062440803 Receives reassigned benefits from 3 practitioners
Practice locations: Stamford, CT

National Provider Directory

National Provider Directory

Locations

166 W Broad St
Ste 305
Stamford, CT 06902
Phone (203) 358-0020

29 Hospital Plz
Ste 495
Stamford, CT 06902
Phone (203) 316-0610

Practitioners & affiliated clinicians

Practitioners 3

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1407997950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 STRAWBERRY HILL CT",
            "address_2": "4TH FLOOR SUITE 9",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022594",
            "telephone_number": "203-316-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 STRAWBERRY HILL CT",
            "address_2": "4TH FLOOR SUITE 9",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022594",
            "telephone_number": "203-316-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN F. RICHTER, III, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-316-0610",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004250031",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.