RICHMOND INTERNAL MEDICINE GROUP, P.C.
NPI 1053575225
Internal Medicine in Staten Island, NY

Active since July 16, 2008
800 MANOR RD, SUITE 4, STATEN ISLAND, NY 10314(718) 448-6800(718) 448-9458 Get Directions Write a Review

NPPES record last updated: December 6, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Richmond Internal Medicine Group, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHMOND INTERNAL MEDICINE GROUP, P.C. (NPI 1053575225) is a healthcare organization registered as an internal medicine in Staten Island, New York and active in the NPI registry since July 2008. The organization lists Javier N. Chacon, President, as its authorized official.

NPPES Registry Identity

NPI1053575225
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRICHMOND INTERNAL MEDICINE GROUP, P.C.
Location Address800 MANOR RD, SUITE 4Staten Island, NY 10314-7034
Mailing Address800 Manor Rd, Suite 4Staten Island, NY 10314-7034 · (718) 448-6800 · Fax (718) 448-9458
Fax(718) 448-9458
Organization SubpartNo
Authorized OfficialJavier N. ChaconPresident · (718) 448-6800
Enumeration DateJuly 16, 2008
Last NPPES UpdateDecember 6, 2010
✔ NPI 1053575225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
800 MANOR RD, Staten Island, NY 10314

Other Identifiers 1

Medicare PINQ3W9T1NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richmond Internal Medicine Group, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Richmond Internal Medicine Group, P.C., which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Internal Medicine
NPI 1154383008
800 MANOR RD SUITE 4
Staten Island, NY 10314
(718) 448-6800
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1336368356
800 MANOR RD
Staten Island, NY 10314
(718) 448-6800
✔ Accepts MedicareSame address
Internal Medicine
NPI 1578525408
800 MANOR RD SUITE 4
Staten Island, NY 10314
(718) 448-6800
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1366405763
800 MANOR RD SUITE 4
Staten Island, NY 10314
(718) 448-6800
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richmond Internal Medicine Group, P.C.'s NPI number?

The NPI number for Richmond Internal Medicine Group, P.C. is 1053575225. It was assigned to this organization in the NPPES registry on July 16, 2008.

Where is Richmond Internal Medicine Group, P.C. located?

Richmond Internal Medicine Group, P.C. is located at 800 Manor Rd Suite 4, Staten Island, NY 10314. The listed phone number is (718) 448-6800.

What is Richmond Internal Medicine Group, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Richmond Internal Medicine Group, P.C. enrolled in Medicare?

Yes. Richmond Internal Medicine Group, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Richmond Internal Medicine Group, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Richmond Internal Medicine Group, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (3) and Physical Therapist in Private Practice (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Richmond Internal Medicine Group, P.C. was last updated on December 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.