Provider Demographics
NPI:1366468100
Name:ADLER, RICHARD E (DPM)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:E
Last Name:ADLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 BERLIN RD
Mailing Address - Street 2:SUITE 5000
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-3574
Mailing Address - Country:US
Mailing Address - Phone:856-795-1003
Mailing Address - Fax:856-795-5994
Practice Address - Street 1:52 BERLIN RD
Practice Address - Street 2:SUITE 5000
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-3574
Practice Address - Country:US
Practice Address - Phone:856-795-1003
Practice Address - Fax:856-795-5994
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00112900213E00000X
PASC001887L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0060383000OtherKEYSTONE HEALTH PLAN
NJPHS272OtherOXFORD HEALTH INSURANCE
NJ0104210000OtherAMERIHEALTH
NJ0957305Medicaid
16721OtherUNIVERSITY HEALTH PLANS
PA31881AOtherKEYSTONE MERCY
NJ14960OtherAMERIGROUP
PA9972OtherELDER HEALTH INSURANCE
F14283OtherHEALTH NET
PA0005060660001Medicaid
PA044137OtherINDEPENDENCE BLUE SHIELD
46711OtherAETNA
NJ0065024OtherGROUP HEALTH INSURANCE
NJ1067237OtherHORIZON NJ HEALTH
16721OtherUNIVERSITY HEALTH PLANS
PA9972OtherELDER HEALTH INSURANCE
PA31881AOtherKEYSTONE MERCY
NJ14960OtherAMERIGROUP
NJ0065024OtherGROUP HEALTH INSURANCE
PA044137FHAMedicare PIN