Provider Demographics
NPI:1699713834
Name:STEEL, RICHARD KNIGHT (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:KNIGHT
Last Name:STEEL
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 1:30 PROSPECT AVE
Mailing Address - Street 2:DIVISION OF GERIATRICS
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1914
Mailing Address - Country:US
Mailing Address - Phone:201-996-2503
Mailing Address - Fax:201-883-0870
Practice Address - Street 1:30 PROSPECT AVE
Practice Address - Street 2:DIVISION OF GERIATRICS
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1914
Practice Address - Country:US
Practice Address - Phone:201-996-2503
Practice Address - Fax:201-883-0870
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07382500207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ730725Medicare ID - Type Unspecified
NJB72080Medicare UPIN