Active NPIIndividual providerSole proprietor

Dr. Richard Primavera, DPM CWS FACFAOM

Podiatrist in Long Branch, New Jersey

NPI Number1104827914
Practice location
179 Norwood Ave, Long Branch, NJ 07740-5403
Fax
732-222-0324
Last updated
January 31, 2011

Richard Primavera is a Podiatrist based in Long Branch, NJ. Richard Primavera practices in Long Branch, NJ and has the professional credentials of DPM CWS FACFAOM. The NPI Number for Richard Primavera is 1104827914 and holds a License No. MD01214 (NJ). The current practice location address for Richard Primavera is 179 Norwood Ave, Long Branch, NJ 07740-5403 and can be reached out via phone at 732-222-3917 and via fax at 732-222-0324.

Provider Profile Details

NPI Number
1104827914
Provider Name
Richard Primavera
Credential
DPM CWS FACFAOM
Provider Entity Type
Individual
Gender
Male
Address
179 Norwood Ave, Long Branch, NJ 07740-5403
Phone Number
732-222-3917
Fax Number
732-222-0324
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 2, 2005
Last Update Date
January 31, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
179 Norwood Ave
Long Branch, NJ 07740-5403
Zip
07740-5403
Phone Number
732-222-3917
Fax Number
732-222-0324
Long Branch, NJ 07740Get directions →

Provider Business Mailing Address Details

Address
50 Redwood Dr
Ocean, NJ 07712-8702
City
Ocean
State
NJ
Zip
07712-8702
Phone Number
732-610-4885

License Information

License Number (1)
MD01214
License State (1)
NJ
Taxonomy (1)
Podiatrist · 213E00000X · Primary
License Number (2)
MD01214
License State (2)
NJ
Taxonomy (2)
Podiatrist, Public Medicine · 213EP0504X
License Number (3)
MD01214
License State (3)
NJ
Taxonomy (3)
Podiatrist, Primary Podiatric Medicine · 213EP1101X
License Number (4)
MD01214
License State (4)
NJ
Taxonomy (4)
Podiatrist, Radiology · 213ER0200X
License Number (5)
MD01214
License State (5)
NJ
Taxonomy (5)
Podiatrist, Sports Medicine · 213ES0000X
License Number (6)
MD01214
License State (6)
NJ
Taxonomy (6)
· 213ES0131X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Richard Primavera, DPM CWS FACFAOM?

The NPI number of Dr. Richard Primavera, DPM CWS FACFAOM is 1104827914. It was assigned on August 2, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Richard Primavera, DPM CWS FACFAOM?

Dr. Richard Primavera, DPM CWS FACFAOM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number MD01214.

Where does Dr. Richard Primavera, DPM CWS FACFAOM practice?

The practice location is 179 Norwood Ave, Long Branch, NJ 07740-5403. The office can be reached at 732-222-3917 (phone) or 732-222-0324 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104827914 directly on the NPPES registry website.

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