Individual provider · Type 1 NPI

Richard Primavera, DPM CWS FACFAOM

Podiatrist · Long Branch, NJ

NPI number 1104827914 Active

Practice location

179 Norwood Ave
Long Branch, NJ 07740-5403

Fax (732) 222-0324

Mailing address

50 Redwood Dr
Ocean, NJ 07712-8702

Specialties and licenses

TaxonomyCodeLicense
Podiatrist Primary 213E00000XMD01214 (NJ)
Public Medicine Podiatrist 213EP0504XMD01214 (NJ)
Primary Podiatric Medicine Podiatrist 213EP1101XMD01214 (NJ)
Radiology Podiatrist 213ER0200XMD01214 (NJ)
Sports Medicine Podiatrist 213ES0000XMD01214 (NJ)
Foot Surgery Podiatrist 213ES0131XMD01214 (NJ)

Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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About NPI 1104827914

Richard Primavera, DPM CWS FACFAOM's National Provider Identifier is 1104827914, issued on Aug 2, 2005. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Long Branch, NJ. The record was last updated on Jan 31, 2011.