Organization Active NPI

Richard P Newman MD PA

  • Psychiatry Physician
  • Merritt Island, FL
National Provider Identifier
1821118753
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0045046 Issued in FL
Legal business name
RICHARD P NEWMAN MD PA
Practice address
1395 N Courtenay Pkwy Ste 106
Merritt Island, FL 32953-4474
Phone
(321) 431-6646
Fax
(321) 453-7784
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Richard Paul Newman, M.D.
Title
President
Phone
(321) 431-6646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME0045046 FL Primary

Addresses

Primary practice location

1395 N Courtenay Pkwy Ste 106
Merritt Island, FL 32953-4474

Mailing address

2076 S Courtenay Pkwy
Merritt Island, FL 32952-3912
Phone (321) 431-6646

Other identifiers 1

IdentifierTypeStateIssuer
069912800MedicaidFL

National Provider Directory

National Provider Directory

Locations

3010 S Fiske Blvd
Unit B
Rockledge, FL 32955
Phone (321) 639-7802

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821118753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 S COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523912",
            "telephone_number": "321-431-6646",
            "fax_number": "321-453-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 N COURTENAY PKWY STE 106",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534474",
            "telephone_number": "321-431-6646",
            "fax_number": "321-453-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD P NEWMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-431-6646",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0045046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069912800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.