Organization Active NPI

Richard R Brodman, MD.,PA.

  • Rheumatology Physician
  • North Plainfield, NJ
National Provider Identifier
1699026690
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
25MA03463600 Issued in NJ
Legal business name
RICHARD R BRODMAN, MD.,PA.
Practice address
345 Somerset St
North Plainfield, NJ 07060-4774
Phone
(908) 561-7440
Fax
(908) 453-9166
NPI assigned
Oct 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
Richard Rory Brodman, M.D.
Title
President
Phone
(908) 561-7440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X 25MA03463600 NJ Primary

Addresses

Primary practice location

345 Somerset St
North Plainfield, NJ 07060-4774

Mailing address

345 Somerset St
North Plainfield, NJ 07060-4774
Phone (908) 561-7440

Other identifiers 1

IdentifierTypeStateIssuer
3094804MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1699026690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 SOMERSET ST",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070604774",
            "telephone_number": "908-561-7440",
            "fax_number": "908-453-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SOMERSET ST",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070604774",
            "telephone_number": "908-561-7440",
            "fax_number": "908-453-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD R BRODMAN, MD.,PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "BRODMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "RORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-561-7440",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "25MA03463600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3094804",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.