DR. RICHARD A. MEDINA (NPI# 1598866428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598866428 |
| Entity Type | Individual |
| Full Name | DR. RICHARD A. MEDINA |
| Credential | M.D. |
| Practice Address |
3840 Park Ave Suite 101 Edison NJ 08820-2563 |
| Mailing Address |
225 May St Ste B Edison NJ 08837-3266 |
| Practice Telephone | 7325494747 |
| Practice Fax Number | 7325496132 |
| Mailing Telephone | 7325499495 |
| Mailing Fax Number | 7325496132 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MA045789 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3353303 | 05 |
| 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 |
| 1952948093 | Richard A Medina | Peer Specialist | 2976 Northern Blvd Fl 2, Long Island City, NY 11101-2829 | 2019-12-09 |
| 1407319106 | Richard A Medina | Registered Nurse | 800 W Randol Mill Rd, Arlington, TX 76012-2504 | 2019-04-09 |
| Street Address |
3840 PARK AVE SUITE 101 |
| City | EDISON |
| State | NJ |
| Zip Code | 08820-2563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902804727 | Health Diagnostics of New Jersey, LLC | Clinic/Center | 3840 Park Ave, Suite C, Edison, NJ 08820-2563 | 2005-07-14 |
| 1093100265 | Pain Management Associates of Central Jersey, P. C. | Specialist | 3840 Park Ave, Ste 102a, Edison, NJ 08820-2563 | 2015-04-03 |
| 1023323672 | Everest Health Care Services | Nursing Care | 3840 Park Ave, Suite 204, Edison, NJ 08820-2563 | 2010-08-06 |
| 1598808339 | Manoj Dinkar Patharkar | Physical Medicine & Rehabilitation | 3840 Park Ave, Ste. 102, Edison, NJ 08820-2563 | 2007-02-14 |
| 1861432684 | Norayr Ozbalik | Chiropractor | 3840 Park Ave, Suite D108, Edison, NJ 08820-2563 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457964702 | Time Line Diagnostic LLC | Spec/Tech, Cardiovascular | 25 Cinder Road Apt 3j, Edison, NJ 08820 | 2020-08-26 |
| 1376185504 | Jason Chester | Physical Therapist | 72 Nj-27, Edison, NJ 08820 | 2019-10-09 |
| 1497237838 | Pooja Kansagra | Behavior Technician | 3826 Park Ave Suite 102, Edison, NJ 08820 | 2018-09-01 |
| 1568941086 | Thomas Dipaolo LLC | Physical Therapist | 3840 Park Ave # D108, Edison, NJ 08820 | 2018-08-07 |
| 1467939561 | Aisha Musa Abdulkadir | Student in an Organized Health Care Education/Training Program | Jfk Family Practice, 65 James Street, Edison, NJ 08820 | 2018-07-23 |
| 1801380522 | Edison Spine and Pain Management, P.C. | Physical Medicine & Rehabilitation | 1692 Oak Tree Road, Edison, NJ 08820 | 2018-06-16 |
| 1386136521 | Chirag A Gandhi | Physical Therapist | 3830 Park Ave Ste 202, Edison, NJ 08820 | 2018-06-04 |
| 1770097446 | Arthur Royzner | Dentist | 1 Lincoln Hwy Ste 6, Edison, NJ 08820 | 2017-11-16 |
| 1356850671 | Nj Allergy & Asthma Care LLC | Clinic/Center | 26 Parker Rd, Edison, NJ 08820 | 2017-09-29 |
| 1790226223 | Julianna Marie Zilli | Specialist/Technologist | 24 Woodrow Wilson Dr, Edison, NJ 08820 | 2017-03-16 |
| Find all providers in zip 08820 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518985332 | Mayank D Patel | Internal Medicine | 659 New Dover Rd, Edison, NJ 08820-1912 | 2006-07-18 |
| 1578561759 | Steven Edward Hodes | Internal Medicine | 205 May St, Suite 201, Edison, NJ 08837-3267 | 2005-07-12 |
| 1962809236 | Chintan Modi Md LLC | Internal Medicine | 98 James St, Suite 200, Edison, NJ 08820-3902 | 2014-12-02 |
| 1326475211 | Advanced Multispeciality Group LLC | Internal Medicine | 3848 Park Ave Ste 101, Edison, NJ 08820-2508 | 2013-10-09 |
| 1912229600 | David Reissman Md Pa | Internal Medicine | 98 James St, Suite 209, Edison, NJ 08820-3902 | 2010-02-22 |
| 1447418553 | Mayank Patel Md Pa | Internal Medicine | 659 New Dover Rd, Edison, NJ 08820-1912 | 2008-05-26 |
| 1851409650 | Scott S Chae | Internal Medicine | 2 State Route 27, Suite 107, Edison, NJ 08820-3961 | 2006-08-29 |
| 1164452462 | Ronald A Shugar | Internal Medicine | 98 James St, Suite 104, Edison, NJ 08820-3902 | 2006-07-03 |
| 1417996323 | Gastroenterology Consultants, P.a. | Internal Medicine | 205 May St, Suite 201, Edison, NJ 08837-3267 | 2006-06-06 |
| 1184694945 | David Reissman | Internal Medicine | 98 James St, Suite 209, Edison, NJ 08820-3902 | 2006-01-25 |
| Find all providers in EDISON | ||||
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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.