Healthcare Provider Details

I. General information

NPI: 1336111756
Provider Name (Legal Business Name): JOSEPH RICHTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 10/27/2022
Certification Date: 03/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COLUMBIA UNIVERSITY DEPARTMENT OF PEDIATRICS PH 1-137
NEW YORK NY
10032
US

IV. Provider business mailing address

180 CABRINI BLVD
NEW YORK NY
10033-1138
US

V. Phone/Fax

Practice location:
  • Phone: 212-305-9825
  • Fax: 212-544-1974
Mailing address:
  • Phone: 212-781-0400
  • Fax: 212-781-0060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number205888
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number205888
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: