Individual provider Active NPI

Daniel B Richmond, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Millburn, NJ
National Provider Identifier
1851390959
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
MA061237 Issued in NJ
Practice address
235 Millburn Ave
Suite 102
Millburn, NJ 07041-1738
Phone
(973) 258-1177
Fax
(973) 258-1818
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MA061237 NJ Primary

Addresses

Primary practice location

235 Millburn Ave
Suite 102
Millburn, NJ 07041-1738

Mailing address

235 Millburn Ave
Suite 102
Millburn, NJ 07041-1738
Phone (973) 258-1177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20120418000110 NJ Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 7911041066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Rowan University School of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

235 Millburn Ave
Suite 102
Millburn, NJ 07041-1711
Phone (973) 258-1177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA061237NJMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Orthopaedics, P.a. Sports Medicine CurrentSince Jul 1, 1997 Accepting new patients

Locations

235 Millburn Ave
Ste 102
Millburn, NJ 07041
Phone (973) 258-1177

1620 Vauxhall Rd
#102
Union, NJ 07083
Phone (973) 258-1177

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCCACA/Endpoint/CCCACA

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1851390959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MILLBURN AVE",
            "address_2": "SUITE 102",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411738",
            "telephone_number": "973-258-1177",
            "fax_number": "973-258-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MILLBURN AVE",
            "address_2": "SUITE 102",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411738",
            "telephone_number": "973-258-1177",
            "fax_number": "973-258-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "DANIEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "MA061237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.