RICHARD A MEDINA (NPI# 1952948093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952948093 |
| Entity Type | Individual |
| Full Name | RICHARD A MEDINA |
| Practice Address |
2976 Northern Blvd Fl 2 Long Island City NY 11101-2829 |
| Practice Telephone | 2126917554 |
| Practice Fax Number | 3475103457 |
| Mailing Telephone | 2126917554 |
| Mailing Fax Number | 3475103457 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | CRPA-1891 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356553275 | Richard P Medina | Dentist | 3719 88th St Fl 1, Jackson Heights, NY 11372-7630 | 2007-05-04 |
| 1982218384 | Richard Medina | Physical Therapist | 1715 Bradford Ln Ste 140, Normal, IL 61761-4177 | 2020-09-02 |
| 1841821428 | Richard Medina | Behavior Technician | 1007 Calle Sombra Ste A, San Clemente, CA 92673-6244 | 2020-01-31 |
| 1407319106 | Richard A Medina | Registered Nurse | 800 W Randol Mill Rd, Arlington, TX 76012-2504 | 2019-04-09 |
| 1598866428 | Richard A. Medina | Internal Medicine | 3840 Park Ave, Suite 101, Edison, NJ 08820-2563 | 2006-09-25 |
| Street Address |
2976 NORTHERN BLVD FL 2 |
| City | LONG ISLAND CITY |
| State | NY |
| Zip Code | 11101-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841417763 | John Walden | Social Worker | 2976 Northern Blvd Fl 2, Long Island City, NY 11101-2829 | 2007-04-20 |
| 1578173118 | Jessica Marie Esposito | Social Worker | 2976 Northern Blvd Fl 2, Long Island City, NY 11101-2829 | 2020-08-07 |
| 1285269282 | Sasha Indra Seecharan | Counselor | 2976 Northern Blvd Fl 2, Long Island City, NY 11101-2829 | 2020-03-10 |
| 1235770108 | Rebecca Marie Yu | Counselor | 2976 Northern Blvd Fl 2, Long Island City, NY 11101-2829 | 2019-10-02 |
| 1679040919 | Hugo Hernando Vega | Registered Nurse | 2976 Northern Blvd Fl 2, Long Island City, NY 11101-2829 | 2018-10-24 |
| 1588143812 | Richard Cotto | Peer Specialist | 2976 Northern Blvd Fl 2, Long Island City, NY 11101-2829 | 2018-08-08 |
| 1477031003 | Melissa Bracero | Social Worker | 2976 Northern Blvd Fl 2, Long Island City, NY 11101-2829 | 2018-08-06 |
| 1972008027 | Simone Schultz | Counselor | 2976 Northern Blvd Fl 2, Long Island City, NY 11101-2829 | 2018-03-29 |
| 1326543430 | William Ramos Sr. | Counselor | 2976 Northern Blvd Fl 2, Long Island City, NY 11101-2829 | 2018-03-29 |
| 1487166443 | Patricia Ramjohn | Counselor | 2976 Northern Blvd Fl 2, Long Island City, NY 11101 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453469 | Marguerite Reilly | Speech-Language Pathologist | P721q John F. Kennedy School @ Information Technology H, 21-16 44th Road, Long Island City, NY 11101 | 2020-09-23 |
| 1831716323 | South Occupational Therapy Services, P.C. | Occupational Therapist | 1-50 50th Avenue, Apt 3806, Long Island City, NY 11101 | 2020-06-30 |
| 1104465392 | Cindy Ha | Nurse Practitioner | 29-22 Northern Blvd, Apt 1805, Long Island City, NY 11101 | 2020-01-06 |
| 1114565991 | Maria Montes | Counselor | 3110 37th Ave, Ste 401, Long Island City, NY 11101 | 2019-12-12 |
| 1235770777 | City Medical of Upper East Side, Pllc | Clinic/Center | 25-18 Queens Plaza South, Long Island City, NY 11101 | 2019-10-07 |
| 1073162343 | Kofi Robertson Md Pllc | Anesthesiology | 28-10 Jackson Avenue, Long Island City, NY 11101 | 2019-09-09 |
| 1689221368 | Crossland Transportation Management Corp | Non-emergency Medical Transport (VAN) | 34-18 Northern Blvd, Floor 4 Unit 32, Long Island City, NY 11101 | 2019-08-19 |
| 1295396190 | Natasha Fortune | Counselor | 3418 Northern Blvd Fl 4, Long Island City, NY 11101 | 2019-06-23 |
| 1588224901 | Lemon Health At Home, LLC | Home Health | 4628 Vernon Blvd., Suite 531, Long Island City, NY 11101 | 2019-06-18 |
| 1790342541 | Hospital Wood Medical Center | General Acute Care Hospital | Coxen Hole, Main Street, Roatan, BAY ISLANDS 11101 | 2019-05-28 |
| Find all providers in zip 11101 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588143812 | Richard Cotto | Peer Specialist | 2976 Northern Blvd Fl 2, Long Island City, NY 11101-2829 | 2018-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385896 | Gary N/a Peluso | Peer Specialist | 62 Allan Dr, East Norwich, NY 11732-1203 | 2020-10-28 |
| 1043810138 | Ryan Hope Mcgovern | Peer Specialist | 950 S Oyster Bay Rd Bay Road, Hicksville, NY 11801-3510 | 2020-10-28 |
| 1669070207 | Sayeeda Zorita Daniels | Peer Specialist | 111 Woodlawn Ave Apt 2, Buffalo, NY 14209-1713 | 2020-10-15 |
| 1801409842 | Alexander Mannino | Peer Specialist | 419 Palisade Ave, Yonkers, NY 10703-2610 | 2020-08-28 |
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| 1467064832 | Kenneth Robert Lewis | Peer Specialist | 320 N Goodman St Ste 202320, Rochester, NY 14607-1185 | 2020-08-18 |
| 1700404001 | Kathy Annett Gardini | Peer Specialist | 1914 Brookhaven Ave, Far Rockaway, NY 11691-3626 | 2020-07-13 |
| 1669099826 | Moseka Turkessa James | Peer Specialist | 1220 Remsen Ave # 1, Brooklyn, NY 11236-3925 | 2020-07-02 |
| 1174140545 | Mercedes Busby | Peer Specialist | 118 Brauncroft Ln, Amherst, NY 14226-4957 | 2020-07-01 |
| 1457977258 | Carla J Alomar | Peer Specialist | 414 Martin Rd, Lackawanna, NY 14218-2830 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
| City | LONG ISLAND CITY |
| Zip Code | 11101 |
Please comment or provide details below to improve the information on RICHARD A MEDINA.
| 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.