Richard Henry Altamura, M.D.
Individual provider Active NPI Emergency Medicine Physician · Mount Holly, NJ
NPI 1891722625 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891722625
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 25 MAO6355600 (NJ)
- Practice address
- 175 Madison Ave
Mount Holly, NJ 08060-2038 - Phone
- (609) 261-7046
- Fax
- (609) 914-6067
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cape Regional Urgent Care LLC
Practice addresses (Care Compare)
11 Court House S Dennis Rd
Suite 3
Cape May Court House, NJ 08210-2150
Phone (609) 465-6364
Hospital & facility affiliations
- Cape Regional Medical Center Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110225000671 | NJ | Practitioner - Emergency Medicine | 3779644323 | Reassigns benefits to 4 organizations |
| I20150708000491 | PA | Practitioner - Emergency Medicine | 3779644323 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25 MAO6355600 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Physician Group PA | Current | Accepting new patients | |
| Emergency Physician Services of New Jersey,Professional Association | Emergency Medicine | Current |
Accepting new patients |
| Atlanticare Physician Group, PA | Current |
Accepting new patients | |
| Cape Regional Urgent Care LLC | Current |
Accepting new patients | |
| Jefferson Acute Care Physicians, PC | Current |
Accepting new patients | |
| Jefferson Acute Care Physicians, PC | Current |
Accepting new patients | |
| Cape Regional Urgent Care LLC | Current |
Accepting new patients | |
| Atlanticare Physician Group | Current |
Accepting new patients | |
| Atlanticare Urgent Care Physicians LLC | Current |
Accepting new patients | |
| South Jersey Emergency Physicians, PA | Emergency Medicine | Past | Accepting new patients |
Locations
11 Court House South Dennis Rd
Ste 3
Cape May Court House, NJ 08210
Phone (609) 465-6364
2500 English Creek Ave
Ste 909
Egg Harbor Twp, NJ 08234
Phone (609) 407-2380
110 E Jimmie Leeds Rd
Galloway, NJ 08205
Phone (609) 408-4971
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
3131 Route 38
Ste 13
Mount Laurel, NJ 08054
Phone (856) 866-8700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25 MAO6355600 | NJ | Yes |
Addresses
Primary practice location
175 Madison Ave
Mount Holly, NJ 08060-2038
Mailing address
175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (609) 261-7046
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8582009 | Medicaid | NJ | |
| 25MAO6355600 | Other | NJ | STATE LICENSE |
Other providers in Mount Holly, NJ
- Hannah Elizabeth Aita
- Muhammad Zafar Ajmal
- Tanveer Akhtar
- Sonya Akrout
- Allies, Inc.
- Gary L Altman
- Grace C Amaechi
- America Emergency Squad
- Rima Anandpara
- Alynnia Anderson
All providers in Mount Holly, NJ · Emergency Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.