DR. ANDREA TELAK RICHARDS (NPI# 1629293139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629293139 |
| Entity Type | Individual |
| Full Name | DR. ANDREA TELAK RICHARDS |
| Credential | M.D. |
| Practice Address |
254 Easton Ave New Brunswick NJ 08901-1766 |
| Mailing Address |
3708 Cricket Cir Edison NJ 08820-4215 |
| Practice Telephone | 7323397870 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
25MA08150600 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609286673 | Andrea Lamar Richards | General Practice | 212 West 35th Street, 5th Floor, New York, NY 10001 | 2014-04-30 |
| 1659844819 | Andrea Richards | Occupational Therapy Assistant | 17 Chipman Way, Kingston, MA 02364-1039 | 2019-01-09 |
| 1356833073 | Andrea Richards | Physician Assistant | 309 E 2nd St, Pomona, CA 91766-1854 | 2018-05-30 |
| 1306299409 | Andrea Richards | Behavioral Analyst | 148 Wilshire Blvd, Casselberry, FL 32707-5372 | 2016-07-13 |
| 1104129501 | Andrea Richards | Counselor | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2010-12-08 |
| 1316173313 | Andrea Darcy Richards | Military Health Care Provider | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2009-06-04 |
| 1588819270 | Andrea M Richards | Occupational Therapist | 4700 Seton Center Pkwy, Suite 200, Austin, TX 78759-5295 | 2008-11-21 |
| 1922261825 | Andrea Richards | Occupational Therapist | 1 N Belfield Ave, Havertown, PA 19083-4904 | 2008-07-10 |
| Street Address |
254 EASTON AVE |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip Code | 08901-1766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112859 | Kathy O Covert | Nurse Practitioner | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2005-05-24 |
| 1033710173 | William Andres Vasquez Espinosa | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-11-05 |
| 1639770746 | Andrea Santos | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-11-04 |
| 1548861651 | Shikha Jha | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-11-04 |
| 1497354682 | Andres Calderon | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-10-20 |
| 1023623311 | Tamanna Mahesh Kumar Chandak | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-09-13 |
| 1972117786 | Sreelakshmi Chettoor Janardhanan | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-08-31 |
| 1487262416 | Jan Carol Hader | Social Worker | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-07-15 |
| 1083238828 | Suyansh Sharma | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-06-07 |
| 1447874623 | Gwendolyn Morkorhn Delbridge | Nurse Practitioner | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
| 1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
| 1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
| 1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
| 1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
| 1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
| 1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
| 1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
| Find all providers in zip 08901 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700047594 | Vikram Bhise | Psychiatry & Neurology | 89 French St Fl 2, Children's Health Institute of New Jersey, New Brunswick, NJ 08901-1935 | 2008-06-24 |
| 1477566222 | Rajeshwari Mahalingam | Psychiatry & Neurology | 97 Paterson St, New Brunswick, NJ 08901-2160 | 2006-08-14 |
| 1346506193 | Minal Doshi | Psychiatry & Neurology | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2012-04-05 |
| 1649552688 | Chandrabhaga Miskin | Psychiatry & Neurology | 254 Easton Ave, Dept. of Child Neurology, New Brunswick, NJ 08901-1766 | 2011-09-15 |
| 1659507275 | Abdolreza Esfahanizadeh | Psychiatry & Neurology | 89 French Street, Chinj, New Brunswick, NJ 08901 | 2009-06-10 |
| 1013169937 | Janti Chaaban | Psychiatry & Neurology | 254 Easton Ave, Pediatric Neurology, New Brunswick, NJ 08901-1766 | 2008-10-22 |
| 1841372224 | Rutgers Health-rwj Pediatric Neurology | Psychiatry & Neurology | 97 Paterson St, New Brunswick, NJ 08901-2160 | 2006-10-19 |
| 1144249137 | Carlos Lastra | Psychiatry & Neurology | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316467640 | Kidsneuro, LLC | Psychiatry & Neurology | 205 Browertown Rd Ste 1, Woodland Park, NJ 07424-2610 | 2017-06-27 |
| 1255871547 | Vinayak Dattatraya Bodas | Psychiatry & Neurology | 268 M.l. King Blvd., Newark, NJ 07102 | 2017-03-06 |
| 1013306885 | Namita Garg | Psychiatry & Neurology | 7 Bell St, Apartment # 401, Montclair, NJ 07042-2232 | 2015-01-16 |
| 1477895167 | Bridget Anne Leone | Psychiatry & Neurology | 200 S Orange Ave Ste 165, Livingston, NJ 07039 | 2013-03-20 |
| 1952526816 | German Laufer | Psychiatry & Neurology | 22 Knutsen Dr, West Orange, NJ 07052-2162 | 2007-04-16 |
| 1215096524 | Neuroscience Assoc Md Pa | Psychiatry & Neurology | 31 Mountain Blvd Bldg A, Warren, NJ 07059-5645 | 2006-12-06 |
| 1700961307 | Beverly Fischer | Psychiatry & Neurology | 4 Chiplou Ln, Scotch Plains, NJ 07076-2204 | 2006-10-25 |
| 1851487193 | Leonid Lev Topper | Psychiatry & Neurology | 34 Mountain Blvd Ste B, Warren, NJ 07059-2640 | 2006-10-05 |
| 1578663738 | Gabor Barabas | Psychiatry & Neurology | 24 Muncy Dr, West Long Branch, NJ 07764-1147 | 2006-09-25 |
| 1245263441 | Romana Kulikova | Psychiatry & Neurology | 400 Center St., Garwood, NJ 07027 | 2006-07-09 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
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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.