Provider Demographics
NPI:1427023357
Name:BINETTI, RICHARD G (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:G
Last Name:BINETTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RICHARD
Other - Middle Name:G
Other - Last Name:BINETTI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:616 BLOOMFIELD AVE
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-7525
Mailing Address - Country:US
Mailing Address - Phone:973-226-6600
Mailing Address - Fax:973-226-7533
Practice Address - Street 1:616 BLOOMFIELD AVE
Practice Address - Street 2:SUITE 2B
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-7525
Practice Address - Country:US
Practice Address - Phone:973-226-6600
Practice Address - Fax:973-226-7533
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA33013207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
BI406206Medicare ID - Type Unspecified
C54138Medicare UPIN