Look up the most recent NPI and PECOS records

Mitchell S Richman

Family Medicine

Allopathic & Osteopathic Physicians

91 Peregrine Dr, Voorhees, NJ 08043-1668

PECOS Enrollment

Based on the most recent information from CMS, provider Mitchell S Richman does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1518939727
Provider Type
Individual
Full Name
Richman, Mitchell S
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
2/2/2006
Last Updated
2/7/2017

Contact Information

Practice Location

91 Peregrine Dr, Voorhees, NJ 08043-1668

(856) 264-0541

Unlisted Fax

Mailing Location

91 Peregrine Dr, Voorhees, NJ 08043-1668

(856) 264-0541

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 25MA04263900 New Jersey

Provider Identifiers

ID	Description	Issuer
ID 0423301	Description Medicaid	Issuer Unlisted New Jersey

Mitchell S Richman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Cavallaro Family Practice

Green, Holly L

Karmazin, Polina

Koerner, David Michael

Patel, Ambarish Ashokkumar

Parayil, Cible Mathulla

Blumenthal, Andrew M

Patient First New Jersey Physicians Group Llc

Maffei, Mario

Kim, Hannah