Richard Michael Taddeo

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

MD02383 Issued in NJ

Practice address

120 Millburn Ave
#102
Millburn, NJ 07041-1942

Phone

(973) 376-0700

Fax

(973) 376-5401

NPI assigned

Mar 23, 2006

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Millburn Podiatry Group, PCGroup PAC ID 0143267690, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: richard.taddeo@millburn.direct.emds.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.

• Millburn Podiatry Group, PC

  • Podiatrist
  • Millburn, NJ
  • NPI 1437217676

  Primary Podiatric Medicine

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1679533798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MILLBURN AVE",
            "address_2": "#102",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411942",
            "telephone_number": "973-376-0700",
            "fax_number": "973-376-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MILLBURN AVE",
            "address_2": "#102",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411942",
            "telephone_number": "973-376-0700",
            "fax_number": "973-376-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADDEO",
        "first_name": "RICHARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "MD02383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norka J Suarez, MD
• Suburban Periodontics and Implants LLC
• Surgical Center at Millburn, LLC
• Sweet Tooth Pediatric Dentistry
• Synapse Spine LLC
• Debra R Tarantino, M.D.
• Vincent Tavormina, DDS
• Robert L Taylor, M.D.
• Teammd at Millburn LLC
• Joshua Tebangin, DPT

• Primary Podiatric Medicine Podiatrist in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Primary Podiatric Medicine Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.