JESSICA L RICCIUTO


Address: 104 Endicott St Ste 104, Danvers, MA 01923
Phone: 9788826700

JESSICA L RICCIUTO (NPI# 1316208622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316208622
Entity Type Individual
Full Name JESSICA L RICCIUTO
Credential M.D.
Practice Address 104 Endicott St Ste 104
Danvers
MA 01923
Mailing Address 104 Endicott St Ste 104
Danvers
MA 01923-3688
Practice Telephone 9788826700
Practice Fax Number 9786468553
Mailing Telephone 9788826700
Enumeration Date 2012-06-04
Last Update Date 2020-10-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 261423 MA Allopathic & Osteopathic Physicians
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
261423 MA Allopathic & Osteopathic Physicians
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
ME130602 FL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
4600 Military Trl Ste 208, Jupiter, FL 33458 5616269041
900 Warren Ave, Suite 300, East Providence, RI 029141430 4014443420

Office Location

Street Address 104 ENDICOTT ST STE 104
City DANVERS
State MA
Zip Code 01923

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083038343 Laura Aileen Berry Nurse Practitioner 104 Endicott St Ste 104, Danvers, MA 01923-3623 2014-02-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558902320 Amanda Ashley Harting Social Worker 111 Middleton Road, Danvers, MA 01923 2019-10-03
1407400641 Tom Biggart Clinic/Center 110 Newbury St, Danvers, MA 01923 2019-07-25
1669958252 Marie Marguerite Peloquin Internal Medicine 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 2018-07-17
1033604079 Vanessa Lynne Rachels Social Worker 110 Middleton Rd, Danvers, MA 01923 2018-06-22
1376036517 Meredith A Biggart Dietitian, Registered 110 Newbury St Ste E, Danvers, MA 01923 2018-06-12
1528569431 Alaina Alderman Behavioral Analyst 1 Southside Rd, Danvers, MA 01923 2018-02-26
1023536661 Rachel Anne Ziner Specialist/Technologist 49 Reservoir Dr, Danvers, MA 01923 2017-09-05
1770004780 Sierra Mclear Developmental Therapist 6 Southside R.d, Danvers, MA 01923 2017-06-29
1316479660 Beth Israel Lahey Health Primary Care, Inc. Clinic/Center 480 Maple St., Lahey Health Urgent Care, Danvers, Danvers, MA 01923 2017-03-28
1548791890 Joseph Chenvert Massage Therapist 227 Newbury Street, Danvers, MA 01923 2017-03-27
Find all providers in zip 01923

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952662710 Susan Choe Internal Medicine Lahey Outpatient Center @ Danvers, 480 Maple Street 1st Fl, Danvers, MA 01923 2012-06-07
1093239360 Michael S. Gordon M.d. Internal Medicine 480 Maple St, Danvers, MA 01923-4065 2017-07-28
1508809583 Zhao Liu Internal Medicine 480 Maple St, Danvers, MA 01923 2006-06-14
1407811334 Michael Scott Gordon Internal Medicine 480 Maple St, Danvers, MA 01923-2121 2006-04-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447604590 Denise H. Wong Internal Medicine 720 Harrison Ave Ste 8100, Boston, MA 02118-2371 2016-04-14
1518334515 Stephany Khalil Matta Internal Medicine 75 Kneeland St Lbby 5, Boston, MA 02111-1906 2015-08-25
1972982205 Karen Mccloskey Internal Medicine 110 Francis St Ste 6a, Boston, MA 02215-5501 2015-05-19
1568873230 Eric David Nolen-doerr Internal Medicine 720 Harrison Ave Ste 801, Boston, MA 02118-2326 2014-05-15
1790117133 Z Hinedi Md PC Internal Medicine 145 Hampton Rd, Sharon, MA 02067-3203 2013-08-08
1134564859 Sravanthi Madala Internal Medicine 131 Old Road To 9 Acre Cor Ste 700, Concord, MA 01742 2013-05-08
1932462660 Frederick Thomas Murray Internal Medicine 50 Pinehills Dr, Suite 201, Plymouth, MA 02360-7807 2012-06-18
1710243621 Michele A Gortakowski Internal Medicine 3300 Main St Fl 3, Springfield, MA 01107-1112 2012-04-04
1750678520 Shayhira Suazo Herrera Internal Medicine 8 Isabella Street, Holyoke Medical Center - Endocrinology & Diabetes Ctr., Holyoke, MA 01040 2011-06-30
1770809147 Sylvia Kehlenbrink Oh Internal Medicine 221 Longwood Avenue, Rfb-2, Bwh, Endocrinology, Diabetes and Hypertension, Boston, MA 02115 2010-04-10
Find all providers with the same taxonomy

Competitor

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City DANVERS
Zip Code 01923

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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