Charles M Richwine IV, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB54693 Issued in NJ

Practice address

3110 Ocean Heights Ave
Suite 1
Egg Harbor Township, NJ 08234-7734

Phone

(609) 927-9555

Fax

(609) 926-8902

NPI assigned

Jan 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charles M Richwine IV DO, Lori Tierno Richwine DO PCGroup PAC ID 1759357189, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc. Home health agency, Egg Harbor Township, NJ, CCN 317066
• Patient Care Home health agency, Egg Harbor Township, NJ, CCN 317072
• Shore Medical Center Hospital, Somers Point, NJ, CCN 310047
• Atlanticare Regional Medical Center - City Campus Hospital, Atlantic City, NJ, CCN 310064

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.richwine@harborfamilymedicine.chartmakerdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charles M Richwine IV DO, Lori Tierno Richwine DO PC

  dba Harbor Family Medicine

  • Family Medicine Physician
  • Egg Harbor Township, NJ
  • NPI 1891846895
  Medicare reassignment Care Compare group NPD
• Harbor Family Practice PC

  • Family Medicine Physician
  • Stone Harbor, NJ
  • NPI 1073683660
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Atlanticare Regional Medical Center

  • General Acute Care Hospital
  • Pomona, NJ
  • NPI 1013919315
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Egg Harbor Township, NJ
  • NPI 1922820901
  Care Compare affiliation
• LHCG CXLV, LLC

  dba AtlantiCare Home Health

  • Home Health Agency
  • Egg Harbor Township, NJ
  • NPI 1154884401
  Care Compare affiliation
• Shore Memorial Hospital

  • General Acute Care Hospital
  • Somers Point, NJ
  • NPI 1629070149
  Care Compare affiliation

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1528116795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 OCEAN HEIGHTS AVE",
            "address_2": "SUITE 1",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082347734",
            "telephone_number": "609-927-9555",
            "fax_number": "609-926-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 OCEAN HEIGHTS AVE",
            "address_2": "SUITE 1",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082347734",
            "telephone_number": "609-927-9555",
            "fax_number": "609-926-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHWINE",
        "first_name": "CHARLES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB54693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele L Revoir, CRNA
• Holly H Reynolds, AUD
• Megan Reynolds
• Tanya Reznick
• Bridgette M Richardson, LCSW
• Lori Tierno Richwine, D.O.
• Meghan Riess
• Right at Home Primary Care LLC
• Jessica Ring
• Neydin Rivera-Torres, CNM

• Family Medicine Physician in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.