RICHMOND PRIMARY CARE SPECIALISTS PC NPI 1013048271

NPI Information

NPI: 1013048271
Provider Name: RICHMOND PRIMARY CARE SPECIALISTS, PC
Classification: General Practice - 208D00000X
Entity Type: Organization
CLIA Number: 33D1088847
Address: 305 SEGUINE AVE
SUITE 1
STATEN ISLAND, NY
ZIP 10309
Phone: (718) 967-8300

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NPI Details

RICHMOND PRIMARY CARE SPECIALISTS, PC is a general practice in Staten Island, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee RICHMOND PRIMARY CARE SPECIALISTS, PC NPI is 1013048271. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

305 SEGUINE AVE
SUITE 1
STATEN ISLAND, NY
ZIP 10309-730
Phone: (718) 967-8300
Fax: (718) 967-8335

The provider's authorized official is Miguel A Tirado .
The authorized official title is President and has the following contact phone number (718) 967-8300.

The CLIA number assigned to this NPI record is 33D1088847 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 4/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		211722	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	WJ6651	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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