Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Richard Primavera, DPMCWSFACFAOM

Individual provider Podiatrist · NPI 1104827914

Dr. Richard Primavera, DPMCWSFACFAOM is a Podiatry in Long Branch, New Jersey. Graduated from Temple University School of Medicine in 1980, 46 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
46
Trained at
Temple University School of Medicine
Licensed in
NJ
In the registry since
2005
Specialties on file
6

Practice location Address checks out

179 Norwood Ave
Long Branch, NJ 07740-5403
Phone: (732) 222-3917
Fax: (732) 222-0324
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence MD01214 (NJ)
Public Medicine Podiatrist Taxonomy 213EP0504X · Licence MD01214 (NJ)
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X · Licence MD01214 (NJ)
Radiology Podiatrist Taxonomy 213ER0200X · Licence MD01214 (NJ)
Sports Medicine Podiatrist Taxonomy 213ES0000X · Licence MD01214 (NJ)
Foot Surgery Podiatrist Taxonomy 213ES0131X · Licence MD01214 (NJ)

Record details

NPI number1104827914
Entity typeIndividual (Type 1)
GenderMale
Credentials DPMCWSFACFAOM
Sole proprietorYes
NPI enumeratedAugust 2, 2005
Last updated in NPPESJanuary 31, 2011
Mailing address50 Redwood Dr, Ocean, NJ 07712-8702

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Long Branch