Richard John Mutty, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

123964-1 Issued in NY

Practice address

1819 Black River Blvd N
Rome, NY 13440-2427

Phone

(315) 336-5600

Fax

(315) 336-5618

NPI assigned

Jun 8, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1487658407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 BLACK RIVER BLVD N",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402427",
            "telephone_number": "315-336-5600",
            "fax_number": "315-336-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 BLACK RIVER BLVD N",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402427",
            "telephone_number": "315-336-5600",
            "fax_number": "315-336-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTTY",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "123964-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00520663",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shuban K Moza, MD
• William Patrick Mullin, LCSW-R, CT
• Thomas L Murphy, REGISTERED SOCIAL WO
• Megan Louise Murrin, LCSW
• Janette Lee Muttillo, CCC/MS/SLP/NYS
• Mvny Partners IV, LLC
• Damion Anthony Myers, DDS
• Kent A Myers
• Jenna Marie Narolis, PT, DPT
• Ahmed Nawaz, MD

• Orthopaedic Surgery Physician in Rome, NY
• Providers in Rome, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.