Physician Compare National (NPI:1982879128)

HEALTHCARE PROVIDER: JOSHUA RYAN RICHTER M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1982879128
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3971772781
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180420000182
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RICHTER
	Individual professional last name
Provider First Name	JOSHUA
	Individual professional first name
Provider Middle Name	RYAN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	MEDICAL ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HEMATOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HEMATOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2264691070
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	1739
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	10 E 102ND ST
	Group Practice or individual's line 1 address
Line 2 Street Address	TISCH DEPT OF MOUNT SINAI
	Group Practice or individual's line 2 address
City	NEW YORK
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	100296030
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2128448288
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330024
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MOUNT SINAI HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330169
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MOUNT SINAI BETH ISRAEL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	310001
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HACKENSACK UNIVERSITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y