Active NPI
Daniel B Richmond, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Millburn, NJ
National Provider Identifier
1851390959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- MA061237
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA061237 | NJ | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Orthopaedics, P.a. | Sports Medicine | Current | 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
- 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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Millburn, NJ
- NPI 1558334631
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.