Active NPI
Jennifer Rich, MD
- Pediatrics Physician
- Riverhead, NY
National Provider Identifier
1477623676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 211315
- Practice address
- 34 Commerce Ave
Riverhead, NY 11901-3118 - Phone
- (631) 722-8880
- NPI assigned
- Nov 8, 2006
- Last updated
- Oct 26, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 211315 | NY | Primary |
Addresses
Primary practice location
34 Commerce Ave
Riverhead, NY 11901-3118
Mailing address
6788 Dartmouth St
Forest Hills, NY 11375-4148
Phone (718) 579-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Mount Vernon Hospital | Past | Accepting new patients | |
| Montefiore Medical Center | Pediatrics | Past | Accepting new patients |
| Montefiore Medical Center | Past | Accepting new patients | |
| Allied Physicians Group, PLLC | Pediatrics | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jennifer.rich.1@29151.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Melville, NY
- NPI 1396944799
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- General Acute Care Hospital
- Mount Vernon, NY
- NPI 1013345065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351209600000",
"number": "1477623676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6788 DARTMOUTH ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754148",
"telephone_number": "718-579-2500",
"fax_number": "718-579-2599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 COMMERCE AVE",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119013118",
"telephone_number": "631-722-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICH",
"first_name": "JENNIFER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2012-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "211315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.