Richardson Surgical, LLC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

26NJ00054400 Issued in NJ

Legal business name

RICHARDSON SURGICAL, LLC

Practice address

433 Nightingale Square
Mays Landing, NJ 08330-5603

Phone

(609) 646-6025

Fax

(609) 646-6316

NPI assigned

Nov 25, 2008

Last updated

Nov 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James N Richardson II, APNNPI 1447370317

Title

Ceo

Phone

(609) 646-6025

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• James N Richardson Jr., APNC, RNFA, CNOR

  • Registered Nurse First Assistant
  • Mays Landing, NJ
  • NPI 1447370317
  NPD (past) Authorized official

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1467607911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 NIGHTINGALE SQ",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083305603",
            "telephone_number": "609-646-6025",
            "fax_number": "609-646-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 NIGHTINGALE SQUARE",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083305603",
            "telephone_number": "609-646-6025",
            "fax_number": "609-646-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSON SURGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-646-6025",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00054400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070688",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renew Your Mind
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• Tonya Evette Revelle
• Liana Rhodes, LCADC
• Clifton Richardson III, PMHNP-BC
• James N Richardson Jr., APNC, RNFA, CNOR
• Amy Townsend Riordan, APN
• Tiffany Ivanna Ritchie, RN, BSN
• Dawn Elizabeth Ritter, DVM

• Acute Care Nurse Practitioner in Mays Landing, NJ
• Providers in Mays Landing, NJ by specialty
• Acute Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.