Richard J. Mutty MD, PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

123964 Issued in NY

Legal business name

RICHARD J. MUTTY MD, PC

Practice address

1819 Black River Blvd N
Rome, NY 13440-2427

Phone

(315) 336-3600

Fax

(315) 336-5618

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard J Mutty, MD

Title

President

Phone

(315) 336-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1871526434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 BLACK RIVER BLVD N",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402427",
            "telephone_number": "315-336-3600",
            "fax_number": "315-336-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 BLACK RIVER BLVD N",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402427",
            "telephone_number": "315-336-3600",
            "fax_number": "315-336-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J. MUTTY MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "MUTTY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-336-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "123964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00520663",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Resident Shoppers Service
• John Richard Restivo, MD
• Elizabeth Ann Reyes, RN
• Elizabeth A Rice, N.P.
• Richard J Sullivan, M.D., P.C.
• Richard P Kaskiw MD
• Joyce Ann Richardson, MSW LCSWR
• Amber Nicole Richlin, LPN
• Ridge Mills Physician Services, PLLC
• H Kathleen Riley, RN

• Orthopaedic Surgery Physician in Rome, NY
• Providers in Rome, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.