RICCARDO RICCIARDI JR. (NPI# 1558307256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558307256 |
| Entity Type | Individual |
| Full Name | RICCARDO RICCIARDI JR. |
| Credential | MD |
| Practice Address |
21008 Northern Blvd Suite 4 Bayside NY 11361-3211 |
| Mailing Address |
532 Broadhollow Rd Suite 142 Melville NY 11747-3672 |
| Practice Telephone | 7185395100 |
| Practice Fax Number | 7185392706 |
| Mailing Telephone | 5169310041 |
| Mailing Fax Number | 5168221686 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2015-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 186804 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01518381 | 05 |
| Street Address |
21008 NORTHERN BLVD SUITE 4 |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11361-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568447548 | Jill M Diamond | Audiologist | 21008 Northern Blvd, Suite 5, Bayside, NY 11361-3211 | 2005-12-13 |
| 1396384921 | Christina Ricciardi | Nurse Practitioner | 21008 Northern Blvd, Bayside, NY 11361-3211 | 2019-12-30 |
| 1578921904 | Kiarra Domenique Caneda Aldea | Physical Therapist | 21008 Northern Blvd, Ste 1, Bayside, NY 11361-3211 | 2016-01-30 |
| 1013314004 | Atom Physical Therapy PC | Specialist | 21008 Northern Blvd, Suite #1, Bayside, NY 11361-3211 | 2014-11-19 |
| 1083966170 | North Shore Medical Pllc | Internal Medicine | 21008 Northern Blvd, Suit 1a, Bayside, NY 11361-3211 | 2012-10-12 |
| 1558629899 | Pcl Hearing Services of New York, LLC | Specialist | 21008 Northern Blvd, Suite 5, Bayside, NY 11361-3211 | 2012-04-24 |
| 1518145366 | Jesse Ko, Md, Pllc | Pediatrics | 21008 Northern Blvd, Suite 1a, Bayside, NY 11361-3211 | 2008-02-04 |
| 1356475990 | Lawrence J. Deutsch Phd, PC | Audiologist | 21008 Northern Blvd, Suite 5, Bayside, NY 11361-3211 | 2007-03-15 |
| 1427120526 | Fryer Dermatology, Pllc | Dermatology | 21008 Northern Blvd, Bayside, NY 11361-3211 | 2006-11-14 |
| 1467534610 | Kuai-hua Chiang | Physical Therapist | 21008 Northern Blvd, Ste #1, Bayside, NY 11361-3211 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467078055 | Nicole E. Sarracco | Speech-Language Pathologist | 215 - 46 39th Avenue, Flushing, NY 11361 | 2020-06-19 |
| 1689294381 | Terri Robin Will | Registered Nurse | 3416 2019th Street, Queens, NY 11361 | 2020-04-22 |
| 1295364875 | Melanie Besthoff | Speech-Language Pathologist | 215-46 39th Avenue, Flushing, NY 11361 | 2020-04-05 |
| 1790339844 | Alana Valle | Occupational Therapist | 20947 34th Rd, Bayside, NY 11361 | 2019-07-26 |
| 1881175826 | Eva Mui | Pharmacist | 212 Northern Blvd, Bayside, NY 11361 | 2018-08-28 |
| 1063908531 | Hongik Acupuncture N.y. P.C. | Acupuncturist | 21441 42nd Ave Ste 4c, Bayside, NY 11361 | 2018-07-07 |
| 1093233694 | Karen Trentacosta | Registered Nurse | 40-04a Bell Boulevard, Bayside, NY 11361 | 2017-09-03 |
| 1801310131 | Hee Gi An | Dentist | 42-05 204th St, Flr 2, Bayside, NY 11361 | 2017-07-28 |
| 1780113050 | Miaoying Zhu | Social Worker | 217-63 Corbett Rd, Bayside, NY 11361 | 2017-06-08 |
| 1679016265 | Daniela Ragusa | Speech-Language Pathologist | 221-21 Corbett Road, Bayside, NY 11361 | 2016-11-30 |
| Find all providers in zip 11361 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306954946 | Charles Edmond Libby | Urology | 21008 Northern Blvd, Suite 3, Bayside, NY 11361-3211 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787955 | Alexandra Gavalo-yacco | Urology | 100 S Bedford Rd, Mount Kisco, NY 10549-3425 | 2020-07-22 |
| 1710503230 | Alan Hugh Bennett | Urology | 592 State Route 28, Raquette Lake, NY 13436-1907 | 2020-06-20 |
| 1518587294 | Nitin Sharma | Urology | 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 | 2020-04-22 |
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1659917243 | Hanan Goldberg | Urology | 1676 Sunset Ave Fl 2, Utica, NY 13502-5416 | 2019-11-19 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1902464720 | Manzoor Ul Mahbub | Urology | 8268 164th St Rm P129, Jamaica, NY 11432-1121 | 2019-06-05 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RICCARDO RICCIARDI JR..
| 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.