Richard L Addes (NPI# 1861569964, PAC ID# 8022067149) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1861569964 |
| PAC ID by PECOS | 8022067149 |
| Professional Enrollment ID | I20050115000047 |
| Full Name | Richard L Addes |
| Organization Legal Name | 54 MAIN STREET MEDICAL PRACTICE PC |
| Address |
129 Jackson St Hempstead NY 11550-2412 |
| Phone Number | 2126955122 |
| Gender | M |
| Credential | MD |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0244217511 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330198 | SOUTH NASSAU COMMUNITIES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 129 Jackson St, Hempstead, NY 11550-2412 | 2126955122 | 54 MAIN STREET MEDICAL PRACTICE PC |
| 2965 Long Beach Rd, Oceanside, NY 11572-3255 | 5165938953 | MOUNT SINAI SCHOOL OF MEDICINE |
| Organization Legal Name | 54 MAIN STREET MEDICAL PRACTICE PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernardo Fernandez | Internal Medicine | 54 Main Street Medical Practice PC | 129 Jackson St, Hempstead, NY 11550-2412 |
| Street Address |
129 JACKSON ST |
| City | HEMPSTEAD |
| State | NY |
| Zip | 11550-2412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William J Mcshane | Podiatry | 129 Jackson St, Hempstead, NY 11550-2412 | |
| Bernardo Fernandez | Internal Medicine | 54 Main Street Medical Practice PC | 129 Jackson St, Hempstead, NY 11550-2412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abid Ali Akram | Podiatry | 100 Saint Pauls Pl, Hempstead, NY 11550-1143 | |
| Robert Gregorio Bernales | Family Medicine | Long Island Fqhc, Inc. | 135 Main St, Hempstead, NY 11550-2414 |
| Naseem A Hussaini | Internal Medicine | Long Island Fqhc, Inc. | 135 Main St, Hempstead, NY 11550-2414 |
| Tami Hall | Nurse Practitioner | Long Island Fqhc, Inc. | 135 Main St, Hempstead, NY 11550-2414 |
| Adedeji Adelaja | Family Medicine | Long Island Fqhc, Inc. | 135 Main St, Hempstead, NY 11550-2414 |
| Emilio Garcia | Family Medicine | Long Island Fqhc, Inc. | 135 Main St, Hempstead, NY 11550-2414 |
| Snezhana Mullokandov | Obstetrics/gynecology | Long Island Fqhc, Inc. | 135 Main St, Hempstead, NY 11550-2414 |
| Nadine F Klein | Physician Assistant | Long Island Fqhc, Inc. | 135 Main St, Hempstead, NY 11550-2414 |
| Lynn M Murphy | Clinical Social Worker | Long Island Fqhc, Inc. | 135 Main St, Hempstead, NY 11550-2414 |
| Haleh Mohseni | Family Medicine | Advantagecare Physicians PC | 226 Clinton St, Hempstead, NY 11550-2614 |
| Find all physicians in zip 11550 | |||
| City | HEMPSTEAD |
| Zip Code | 11550 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HEMPSTEAD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Richard L Addes.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.