Individual provider Active NPI

Richard N Waldman, MD

  • Dermatology Physician
  • Fall River, MA
National Provider Identifier
1851357313
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
42776 Issued in MA
Practice address
1151 Robeson St Ste 201
Fall River, MA 02720-5566
Phone
(508) 730-1666
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 42776 MA Primary

Addresses

Primary practice location

1151 Robeson St Ste 201
Fall River, MA 02720-5566

Mailing address

1151 Robeson St Ste 201
Fall River, MA 02720-5566
Phone (508) 730-1666

Other names 1

  • Dr. Richard N Waldman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050413000358 MA Practitioner - Dermatology 3577500339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Virginia Commonwealth University, School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obstetrical Associates IncGroup PAC ID 5698872281, 5 clinicians

Practice addresses (Care Compare)

1151 Robeson St
FL 2
Fall River, MA 02720-5565
Phone (508) 730-1666

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions206
Removal or shaving of skin growth1-10
Skin biopsy35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42776MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrical Associates Inc CurrentSince Oct 1, 2022 Accepting new patients

Locations

1151 Robeson St
Ste 201
Fall River, MA 02720
Phone (508) 730-1666

1151 Robeson St
Fl 2
Fall River, MA 02720
Phone (508) 646-6767

Interoperability endpoints

  • Direct secure messaging: richard.waldman@10362.chartlogic.direct-ci.com

Organizations & group practices 1

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1851357313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 ROBESON ST STE 201",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205566",
            "telephone_number": "508-730-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 ROBESON ST STE 201",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205566",
            "telephone_number": "508-730-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "RICHARD",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "42776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "WALDMAN",
            "middle_name": "N",
            "prefix": "DR.",
            "credential": "MD PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.