MEDICARE: DR. JONATHAN RICHARDS DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	SN006522	NY
2	213ES0103X	Foot & Ankle Surgery Podiatrist	6522	NY

General Provider Information

NPI Number	:	1649594193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN RICHARDS DPM

Provider Business Mailing Address
First Line	:	314 W 14TH ST FL 4
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10014-5002
Country	:	US
Telephone Number	:	888-265-0610
Fax Number	:	212-366-4830

Provider Business Practice Location Address
First Line	:	314 W 14TH ST FL 4
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10014-5002
Country	:	US
Telephone Number	:	888-265-0610
Fax Number	:	212-366-4830

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2010
Last Update Date	:	03/06/2026

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