Provider Demographics
NPI:1285616094
Name:MUELLER, RICHARD LOUIS (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:LOUIS
Last Name:MUELLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E 55TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4103
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:401 E 55TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4103
Practice Address - Country:US
Practice Address - Phone:212-593-9800
Practice Address - Fax:917-970-0550
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07737300207RC0000X
NY176113207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01392369Medicaid
NYF49065Medicare UPIN
NJ095233UPKMedicare ID - Type Unspecified
NY01392369Medicaid