Richmond ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RICHMOND ASC LLC

Doing business as

Richmond Pain Management ASC

Practice address

1360 Hylan Blvd
Staten Island, NY 10305-1922

Phone

(718) 667-3577

NPI assigned

Mar 18, 2016

Organization subpart

No

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

Authorized official

Name

Kenneth Chapman, MDNPI 1366494262

Title

Medical Director

Phone

(718) 667-3577

Specialties & licenses 1

Addresses

Other names 1

• Richmond Pain Management ASC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Richmond Pain Management ASCCCN 33C0001165

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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

• Kenneth B Chapman, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Staten Island, NY
  • NPI 1366494262
  Medicare reassignment NPD Authorized official
• Uel Joseph Alexis, M.D.

  • Anesthesiology Physician
  • Staten Island, NY
  • NPI 1275765851
  Medicare reassignment NPD
• Robert Otterbeck, M.D.

  • Interventional Pain Medicine Physician
  • New York, NY
  • NPI 1487064077
  Medicare reassignment NPD
• Latrice Akuamoah, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Hoboken, NJ
  • NPI 1497047955

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1730540600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051922",
            "telephone_number": "718-667-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-667-3577",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richmond Pain Management ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosalyn Richardson, C.A.S.C.T.
• Shawn M Richardson
• Richmond Adult Day Center Inc.
• Richmond Ambulatory Services
• Richmond Ambulatory Surgical Facility PLLC
• Richmond Ave Orthodontics, PLLC
• Richmond Behavioral Associates, LLC
• Richmond Behavioral Wellness Physician PLLC
• Richmond Cancer and Blood Disorders P.C.
• Richmond Cardio Pulmonary Care PC

• Ambulatory Surgical Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.