Individual provider Active NPI

Kamilla Hassima Richards, AGNP

  • Adult Health Nurse Practitioner
  • East Orange, NJ
National Provider Identifier
1699431361
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ15086300 Issued in NJ
Practice address
120 Dodd St
East Orange, NJ 07017-3213
Phone
(973) 672-8573
Fax
(585) 206-4849
NPI assigned
Nov 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 26NJ15086300 NJ Primary
Gerontology Nurse Practitioner 363LG0600X 11046534 FL
Adult Health Nurse Practitioner 363LA2200X F310618 NY

Addresses

Primary practice location

120 Dodd St
East Orange, NJ 07017-3213

Mailing address

511 S Orange Ave # 2196
Newark, NJ 07103-1342
Phone (210) 463-0667

Other identifiers 1

IdentifierTypeStateIssuer
26NJ15086300MedicaidNJ

Other names 1

  • Mrs. Kamilla Hassima Richards Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211208001631 NY Practitioner - Nurse Practitioner 6305236274 Reassigns benefits to 3 organizations
I20240903000494 NJ Practitioner - Nurse Practitioner 6305236274 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F310618NYMDAdult Health Nurse Practitioner
11046534FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Medical Practice P.C. Single Specialty CurrentSince Nov 1, 2021 Accepting new patients
North Ward Medical Arts LLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Call to Care LLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Senior Healthcare Outreach Program Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Salerno Medical Associates, LLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Essen Medical Associates, PC Single Specialty CurrentSince Nov 1, 2021 Accepting new patients
Metropolitan Medical Group LLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Roseville Medical Society LLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Healthy Hands Health Group LLC Single Specialty Current Accepting new patients
Bastidas Plastic Surgery, PC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Nov 1, 2021 Accepting new patients
House Call Medical Services of New York, PLLC Single Specialty CurrentSince Nov 1, 2021 Accepting new patients

Locations

613 Park Ave
East Orange, NJ 07017
Phone (973) 672-2455

613 Park Ave
Fl 1
East Orange, NJ 07017
Phone (973) 556-0955

613 Park Ave
Fl 2
East Orange, NJ 07017
Phone (973) 485-6433

485 Mount Prospect Ave
Fl 1
Newark, NJ 07104
Phone (973) 485-6433

511 S Orange Ave
Newark, NJ 07103
Phone (305) 482-1494

346 Roseville Ave
Newark, NJ 07107
Phone (973) 482-7245

523 Park Ave
Orange, NJ 07050
Phone (862) 229-1516

228 Roseberry St
Ste 5
Phillipsburg, NJ 08865
Phone (908) 213-3433

277 Route 70
Ste 231
Toms River, NJ 08755
Phone (212) 516-2300

1434 Williamsbridge Rd
Fl 2
Bronx, NY 10461
Phone (201) 641-2125

2015 Grand Concourse
#13202
Bronx, NY 10453

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13207/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kamilla.christopher.1@25238.direct.athenahealth.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1699431361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 S ORANGE AVE # 2196",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071031342",
            "telephone_number": "210-463-0667",
            "fax_number": "585-206-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DODD ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070173213",
            "telephone_number": "973-672-8573",
            "fax_number": "585-206-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "KAMILLA",
        "middle_name": "HASSIMA",
        "name_prefix": "Mrs.",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ15086300",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11046534",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310618",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26NJ15086300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAMILLA",
            "last_name": "RICHARDS",
            "middle_name": "HASSIMA",
            "prefix": "MRS.",
            "credential": "AGNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.