Individual provider Active NPI

Richard Jay Pitch, MD

  • Psychiatry Physician
  • Medford, NY
National Provider Identifier
1679661664
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
191765 Issued in NY
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120127000688 NY Practitioner - Psychiatry 4486811775 Reassigns benefits to 1 organization
Practice locations: Medford, NY

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
Long Island Neurocare Therapy PLLCGroup PAC ID 8325306632, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Long Island Neurocare Therapy PLLC Psychiatry CurrentSince Oct 10, 2017 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.

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

Verify at the official NPI Registry.