Maureen L Richards, NP

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

License

26NJ01059900 Issued in NJ

Practice address

63 Crestmont Rd
West Orange, NJ 07052-1626

Phone

(914) 204-1455

NPI assigned

May 24, 2021

Last updated

Mar 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maureen.richards.1@25366.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • Cardiovascular Disease Physician
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  • NPI 1710168232
  Medicare reassignment NPD
• Optum Medical Care of New Jersey PC

  • Pediatrics Physician
  • New Hyde Park, NY
  • NPI 1578665048

  NJ

  Medicare reassignment NPD
• Healthwise Medical Staffing, LLC

  • Nursing Care Agency
  • Montclair, NJ
  • NPI 1285042440
  Authorized official Same address or phone
• Optum Medical Care of New Jersey PC

  dba Riverside Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Belleville, NJ
  • NPI 1255050902
  NPD
• A.G. Dikengil, MD, PA

  • Radiology Clinic/Center
  • Lyndhurst, NJ
  • NPI 1205992690
  NPD (past)
• Riverside Medical Group

  • Nurse Practitioner
  • Secaucus, NJ
  • NPI 1053867598
  NPD (past)
• Vitality NP Group LLC

  • Nurse Practitioner
  • Horsham, PA
  • NPI 1003453051

  Adult Health

  NPD (past)

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648252800000",
    "number": "1972178721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 CRESTMONT RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521626",
            "telephone_number": "914-204-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 CRESTMONT RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521626",
            "telephone_number": "914-204-1455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088172507",
            "country_code": "US",
            "telephone_number": "732-486-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "MAUREEN",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ01059900",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NJ",
            "license": "26NJ01059900",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01059900",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "26NJ01059900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Business",
            "affiliation": "N",
            "address_1": "63 Crestmont Rd",
            "city": "West Orange",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070521626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angel David Duncan Reyna, RPT
• Susan Reyna, LCSW
• Esther Reynoso, MS RDN
• Sana Riaz, DO
• Richard a. Newman, D.M.D., P.a.
• Michael Harold Rieber, M.D.,FACS
• Nicole E Riela, DPT
• Jeffrey Alan Rigby, DPT
• Alexandria Riley, LPC
• Rising Stars Physical Therapy, LLC

• Community Health Nurse Practitioner in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Community Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.