Robert W Richardson MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA03545600 Issued in NJ

Legal business name

ROBERT W RICHARDSON MD LLC

Practice address

181 Franklin Ave
Suite 202
Nutley, NJ 07110-3820

Phone

(973) 667-4568

Fax

(973) 667-4589

NPI assigned

Sep 27, 2013

Organization subpart

No

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

Authorized official

Name

Robert W Richardson, MDNPI 1033167978

Title

President

Phone

(973) 667-4568

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert W Richardson, MD

  • Internal Medicine Physician
  • Nutley, NJ
  • NPI 1033167978
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1699102277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 FRANKLIN AVE",
            "address_2": "SUITE 202",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103820",
            "telephone_number": "973-667-4568",
            "fax_number": "973-667-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 FRANKLIN AVE",
            "address_2": "SUITE 202",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103820",
            "telephone_number": "973-667-4568",
            "fax_number": "973-667-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W RICHARDSON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-667-4568",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03545600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Richards
• Robert W Richardson, MD
• Steven D Richman, MD
• Mildred Rivera, M.D.
• Riverside Pediatric Group, PC
• Michael Roberts
• Debra Rolandelli, D.C.
• Tina Romaniello, PA-C
• Sarah Madison Roselli, OTR/L; EMT-B
• Roman Rubin

• Internal Medicine Physician in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.