RAYMOND RICHARDS (NPI# 1548727977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548727977 |
| Entity Type | Individual |
| Full Name | RAYMOND RICHARDS |
| Practice Address |
340 Kingsland St Nutley NJ 07110-1150 |
| Mailing Address |
25 Manor Dr Apt 14n Newark NJ 07106-3248 |
| Practice Telephone | 9737619000 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | W231644501 | 01 |
| Street Address |
340 KINGSLAND ST |
| City | NUTLEY |
| State | NJ |
| Zip Code | 07110-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053584185 | Jacob Zeffren | Internal Medicine | 340 Kingsland St, Nutley, NJ 07110-1150 | 2008-04-09 |
| 1972135077 | Christina Marie Gambino | Specialist/Technologist | 340 Kingsland St, Nutley, NJ 07110-1150 | 2020-02-06 |
| 1134489487 | Thomas Peter Bridge | Psychiatry & Neurology | 340 Kingsland St, 1 4c40, Nutley, NJ 07110-1150 | 2012-05-21 |
| 1043594120 | Mahmoud Loghman-adham | Pediatrics | 340 Kingsland St, Nutley, NJ 07110-1150 | 2011-10-06 |
| 1205087434 | David Martin Musselman | General Practice | 340 Kingsland St, Nutley, NJ 07110-1150 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304984 | Nutley Vision LLC | Optometrist | 214 N Franklin Avenue, Nutley, NJ 07110 | 2019-09-06 |
| 1548762073 | Michal Milow Divney | Social Worker | 340 Kingsland St Bldg 123, Nutley, NJ 07110 | 2018-02-28 |
| 1144743162 | Erin Doyle Theodorou | Counselor | 29 Faber Pl, Nutley, NJ 07110 | 2017-07-21 |
| 1134642671 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 150 Kingsland St, Nutley, NJ 07110 | 2017-07-17 |
| 1851811764 | Janet Joke Bamgbade | Social Worker | 21 River Road, Apt. J, Nutley, NJ 07110 | 2017-06-21 |
| 1588190656 | Nutley Vision | Eyewear Supplier (Equipment, not the service) | 214 Franklin Ave., Nutley, NJ 07110 | 2017-05-10 |
| 1043662596 | Angela Furnari-romano | Social Worker | 596 Franklin Ave, Nutley, NJ 07110 | 2016-07-08 |
| 1659720381 | Nutley Adult Day Care Inc | Clinic/Center | 357-361 Harrison St, 1st Floor, Nutley, NJ 07110 | 2016-06-03 |
| 1881055937 | Roman Rubin | Community/Behavioral Health | 263 Hillside Address, 5, Nutley, NJ 07110 | 2016-03-17 |
| 1275937922 | Victoria L Beckerman | Social Worker | 405 Centre St, Nutley, NJ 07110 | 2014-10-09 |
| Find all providers in zip 07110 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881166890 | Zaid Suhail Kathim Ahmad Amin | Student in an Organized Health Care Education/Training Program | 100 Kingsland St Apt 211, Nutley, NJ 07110-1279 | 2019-01-02 |
| 1548758378 | Radhika Vala | Student in an Organized Health Care Education/Training Program | 48 Clement St, Nutley, NJ 07110-2053 | 2018-04-26 |
| 1902330087 | Gregmar Cruz | Student in an Organized Health Care Education/Training Program | 32 Taft Ave, Nutley, NJ 07110-2634 | 2017-04-17 |
| 1932649415 | Tanasia Dejesus | Student in an Organized Health Care Education/Training Program | 322 Harrison St, Nutley, NJ 07110-2657 | 2017-03-02 |
| 1861931586 | Faiza Malik | Student in an Organized Health Care Education/Training Program | 113 E Centre St Apt 1209, Nutley, NJ 07110-5419 | 2017-02-14 |
| 1083060644 | Gregory Lee Philpott | Student in an Organized Health Care Education/Training Program | 345 Prospect St, Nutley, NJ 07110-2240 | 2016-05-12 |
| 1669736195 | Kathleen M Carstens | Student in an Organized Health Care Education/Training Program | 10 Berton Pl, Nutley, NJ 07110-5337 | 2012-06-29 |
| 1063779429 | Haris Syed Ahmed | Student in an Organized Health Care Education/Training Program | 199 Grant Ave, Nutley, NJ 07110-2809 | 2012-04-23 |
| 1356989495 | John Milici Jr. | Student in an Organized Health Care Education/Training Program | 229 High St, Nutley, NJ 07110-1430 | 2019-12-19 |
| 1346401726 | Kirk Lercher | Student in an Organized Health Care Education/Training Program | 370 River Rd, Nutley, NJ 07110-3611 | 2008-06-19 |
| Find all providers in NUTLEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.