Active NPI
Richmond Pulmonary Medicine PC
- Pulmonary Disease Physician
- Staten Island, NY
National Provider Identifier
1972547271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- RICHMOND PULMONARY MEDICINE PC
- Practice address
- 2905 Hylan Blvd
Staten Island, NY 10306-4653 - Phone
- (718) 351-1212
- Fax
- (718) 351-4114
- NPI assigned
- Jun 16, 2006
- 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
- Laura Valle
- Title
- Office Manager
- Phone
- (718) 351-5515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | NY | Primary |
Addresses
Primary practice location
2905 Hylan Blvd
Staten Island, NY 10306-4653
Mailing address
2905 Hylan Blvd
Staten Island, NY 10306-4653
Phone (718) 351-1212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01972614 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040322001518 | NY | Part B Supplier - Clinic/Group Practice | 3678464484 |
Receives reassigned benefits from 2 practitioners Practice locations: Staten Island, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2247189 | Richmond Pulmonary Medicine PC | Certificate of waiver | Jan 4, 2028 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/CBJDAD
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Staten Island, NY
- NPI 1679732507
NY, Pulmonary Disease
-
- Pulmonary Disease Physician
- Staten Island, NY
- NPI 1750320388
NY, Pulmonary Disease
-
- Physician Assistant
- Staten Island, NY
- NPI 1083266001
-
- Surgical Critical Care Physician
- New York, NY
- NPI 1356587638
-
- Physician Assistant
- Staten Island, NY
- NPI 1821819871
-
- Pulmonary Disease Physician
- Staten Island, NY
- NPI 1598768905
Pulmonary Disease
-
- Gastroenterology Physician
- Staten Island, NY
- NPI 1588721658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433980800000",
"number": "1972547271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103064653",
"telephone_number": "718-351-1212",
"fax_number": "718-351-4114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103064653",
"telephone_number": "718-351-1212",
"fax_number": "718-351-4114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHMOND PULMONARY MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-16",
"last_updated": "2015-06-11",
"status": "A",
"authorized_official_last_name": "VALLE",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "718-351-5515"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01972614",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
- Richmond Podiatry Associates
- Richmond Primary Care Specialists, PC
- Richmond Psychological Services, P.C.
- Richmond Psychotherapy, LCSW P.C.
- Richmond Pulmonary and Critical Care, PC
- Richmond Radiology Associates
- Richmond Radiology, P.C.
- Richmond Road Physical Therapy PC
- Richmond Robotic Surgery PC
- Richmond Specialty Script Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.