Provider Demographics
NPI:1851552954
Name:RICHARD C ANGRIST MD PA
Entity type:Organization
Organization Name:RICHARD C ANGRIST MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:ANGRIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-246-1050
Mailing Address - Street 1:1527 STATE ROUTE 27 STE 2600
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4017
Mailing Address - Country:US
Mailing Address - Phone:732-246-1050
Mailing Address - Fax:732-846-1440
Practice Address - Street 1:1527 STATE ROUTE 27 STE 2600
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-4017
Practice Address - Country:US
Practice Address - Phone:732-246-1050
Practice Address - Fax:732-846-1440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-20
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04389500207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3251101Medicaid
NJ445098OtherMEDICARE LEGACY
NJ445098OtherMEDICARE LEGACY