James Michael Richardson, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

2307 Issued in NJ

Practice address

107 E 37TH St
Paterson, NJ 07514-1213

Phone

(973) 754-8344

Fax

(973) 807-7722

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

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 2

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paterson Community Health Center IncGroup PAC ID 7315007333, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Paterson Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Paterson, NJ
  • NPI 1487694832
  Medicare reassignment Care Compare group NPD
• Advanced Dermatology PC

  • Dermatology Physician
  • New Hyde Park, NY
  • NPI 1134201460
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1679679583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E 37TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141213",
            "telephone_number": "973-754-8344",
            "fax_number": "973-807-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E 37TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141213",
            "telephone_number": "973-754-8344",
            "fax_number": "973-807-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "2307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6836402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abraam Mena Rezkalla, MD
• Brandon Kevin Timur Rezzadeh
• RHK Pharmacy Management LLC
• RHK Pharmacy Management LLC
• Marcia Ribalta, M.D.
• Stephan Richardson, OWNER
• Ride Well Transportation
• Rosalia Castillo Riguerra, MD
• Riley Medical Corporation
• Alexander David Riss, DO

• Podiatrist in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.