Individual provider Active NPI

Richard Conrad Hartwell, M.D, PH.D.

  • Neurological Surgery Physician
  • Toms River, NJ
National Provider Identifier
1669581534
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA05201400 Issued in NJ
Practice address
3293 Long Point Dr
Toms River, NJ 08753-4824
Phone
(732) 691-6801
Fax
(732) 270-8166
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 25MA05201400 NJ Primary

Addresses

Primary practice location

3293 Long Point Dr
Toms River, NJ 08753-4824

Mailing address

3293 Long Point Dr
Toms River, NJ 08753-4824
Phone (732) 691-6801

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050815000674 NJ Practitioner - Neurosurgery 2769412253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
25MA05201400NJMDNeurological Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1669581534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3293 LONG POINT DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087534824",
            "telephone_number": "732-691-6801",
            "fax_number": "732-270-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3293 LONG POINT DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087534824",
            "telephone_number": "732-691-6801",
            "fax_number": "732-270-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTWELL",
        "first_name": "RICHARD",
        "middle_name": "CONRAD",
        "name_prefix": "Dr.",
        "credential": "M.D, PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA05201400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.