Active NPI
Richard Jay Pitch, MD
- Psychiatry Physician
- Medford, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 191765
- Practice address
- 1739 N Ocean Ave Ste a
Medford, NY 11763-2683 - Phone
- (631) 714-4100
- Fax
- (631) 714-4191
- NPI assigned
- Oct 11, 2006
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 191765 | NY | Primary |
Addresses
Primary practice location
1739 N Ocean Ave Ste a
Medford, NY 11763-2683
Mailing address
1739 N Ocean Ave Ste a
Medford, NY 11763-2683
Phone (631) 714-4100
Other practice location 1
121 Broadhollow Rd Ste 125
Melville, NY 11747-4906
Phone (631) 923-2772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- State University of New York Downstate Medical Center, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1739 N Ocean Ave
Suite a
Medford, NY 11763-2683
Phone (631) 714-4100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Neurocare Therapy PLLC | Psychiatry | Current | Accepting new patients |
Locations
1739 N Ocean Ave
Ste A
Medford, NY 11763
Phone (631) 509-6111
121 Broadhollow Rd
Ste 125
Melville, NY 11747
Phone (631) 923-2772
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Medford, NY
- NPI 1477064855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1679661664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1739 N OCEAN AVE STE A",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117632683",
"telephone_number": "631-714-4100",
"fax_number": "631-714-4191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1739 N OCEAN AVE STE A",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117632683",
"telephone_number": "631-714-4100",
"fax_number": "631-714-4191"
}
],
"practiceLocations": [
{
"address_1": "121 Broadhollow Rd Ste 125",
"address_purpose": "LOCATION",
"city": "Melville",
"state": "NY",
"postal_code": "117474906",
"country_code": "US",
"telephone_number": "631-923-2772",
"fax_number": "631-923-2778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PITCH",
"first_name": "RICHARD",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "191765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.