Charles M Richwine IV DO, Lori Tierno Richwine DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB54693 Issued in NJ

Legal business name

CHARLES M RICHWINE IV DO, LORI TIERNO RICHWINE DO PC

Doing business as

Harbor Family Medicine

Practice address

3110 Ocean Heights Ave
Egg Harbor Township, NJ 08234-7734

Phone

(609) 927-9555

Fax

(609) 926-8902

NPI assigned

Jan 16, 2007

Last updated

May 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia A Gonzalez

Title

Billing Manager

Phone

(609) 927-9555

Specialties & licenses 1

Addresses

Other names 1

• HARBOR FAMILY MEDICINE Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles M Richwine IV, D.O.

  • Family Medicine Physician
  • Egg Harbor Township, NJ
  • NPI 1528116795
  Medicare reassignment Care Compare group NPD
• Lori Tierno Richwine, D.O.

  • Family Medicine Physician
  • Egg Harbor Township, NJ
  • NPI 1518015783
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1891846895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 OCEAN HEIGHTS AVE",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082347734",
            "telephone_number": "609-927-9555",
            "fax_number": "609-926-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 OCEAN HEIGHTS AVE",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082347734",
            "telephone_number": "609-927-9555",
            "fax_number": "609-926-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES M RICHWINE IV DO, LORI TIERNO RICHWINE DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "609-927-9555"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB54693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARBOR FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Lynne Chambers, WHNP-BC
• Champion Rehabilitation LLC
• Mercelena Chang-Callejas
• Juliet Chang
• Ryan Channick, M.D.
• Paolla Charles
• Amber Chastine
• Manpreet Kaur Chawla
• Neha Roshan Chawla
• Vincent Chen

• Family Medicine Physician in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.