Active NPI
Richmond Pulmonary and Critical Care, PC
- Critical Care Medicine (Internal Medicine) Physician
- Staten Island, NY
National Provider Identifier
1902235880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 245968
- Legal business name
- RICHMOND PULMONARY AND CRITICAL CARE, PC
- Practice address
- 355 Bard Ave
Sicu
Staten Island, NY 10310-1664 - Phone
- (347) 575-9865
- NPI assigned
- Nov 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Keith Thomas Diaz, M.D.
- Title
- Physician
- Phone
- (347) 575-9865
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 245968 | NY | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 245968 | NY | Primary |
| Pulmonary Disease Physician | 207RP1001X | 245968 | NY |
Addresses
Primary practice location
355 Bard Ave
Sicu
Staten Island, NY 10310-1664
Mailing address
474 Bedford Ave
Staten Island, NY 10306-5424
National Provider Directory
National Provider DirectoryLocations
355 Bard Ave
Fl SLB2
Staten Island, NY 10310
Phone (718) 818-4450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419984000000",
"number": "1902235880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "474 BEDFORD AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103065424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 BARD AVE",
"address_2": "SICU",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103101664",
"telephone_number": "347-575-9865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHMOND PULMONARY AND CRITICAL CARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-01",
"last_updated": "2014-12-31",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "347-575-9865",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "245968",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NY",
"license": "245968",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "245968",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
- Richmond Physicians Services, P.C.
- Richmond Podiatry Associates
- Richmond Primary Care Specialists, PC
- Richmond Psychological Services, P.C.
- Richmond Psychotherapy, LCSW P.C.
- Richmond Pulmonary Medicine PC
- Richmond Radiology Associates
- Richmond Radiology, P.C.
- Richmond Road Physical Therapy PC
- Richmond Robotic Surgery PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.