DR. JAY SCOTT RICCARDI (NPI# 1770551616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770551616 |
| Entity Type | Individual |
| Full Name | DR. JAY SCOTT RICCARDI |
| Credential | MD |
| Practice Address |
425 Brighton St #303 Bethlehem PA 18015-1273 |
| Mailing Address |
95 Highland Ave Ste 130 Bethlehem PA 18017-9483 |
| Practice Telephone | 6108681100 |
| Practice Fax Number | 6108681111 |
| Mailing Telephone | 6108681100 |
| Mailing Fax Number | 6108681111 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2017-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD428350 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01336507 | 05 | |
| PA | 001292349 | 05 |
| Street Address |
425 BRIGHTON ST #303 |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18015-1273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648368 | Cheryl Mierau Barcoski | Nurse Anesthetist, Certified Registered | 425 Brighton St, Suite 202, Bethlehem, PA 18015-1273 | 2005-06-08 |
| 1912301052 | Gabriel Gardi | Nurse Anesthetist, Certified Registered | 425 Brighton St, Bethlehem, PA 18015-1273 | 2014-10-17 |
| 1285928218 | Progressive Physician Associates, Inc. | Radiology | 425 Brighton St, #303, Bethlehem, PA 18015-1273 | 2011-06-07 |
| 1255667911 | Matthew P Guarno | Nurse Anesthetist, Certified Registered | 425 Brighton St, Ste 202, Bethlehem, PA 18015-1273 | 2009-10-30 |
| 1790714111 | Andrew James Cole | Radiology | 425 Brighton St, #303, Bethlehem, PA 18015-1273 | 2006-06-30 |
| 1255368957 | William Anthony Peters IIi | Radiology | 425 Brighton St, #303, Bethlehem, PA 18015-1273 | 2006-06-27 |
| 1700822467 | Ahna C Chu | Radiology | 425 Brighton St, #303, Bethlehem, PA 18015-1273 | 2006-06-21 |
| 1033153440 | Lisa M Fedullo | Radiology | 425 Brighton St, #303, Bethlehem, PA 18015-1273 | 2006-06-15 |
| 1033152996 | Christine M Rutkowski | Nurse Anesthetist, Certified Registered | 425 Brighton St, # 202, Bethlehem, PA 18015-1273 | 2006-06-14 |
| 1942243803 | Dawn M Schaeffer | Nurse Anesthetist, Certified Registered | 425 Brighton St, # 202, Bethlehem, PA 18015-1273 | 2006-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253120 | Lorrette Ayers | Social Worker | St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 | 2020-04-10 |
| 1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1437710076 | Samuel Schadt | Student in an Organized Health Care Education/Training Program | St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 | 2019-06-25 |
| 1437716537 | Rachael Kramer | Counselor | 825 Delaware Avenue, Bethlehem, PA 18015 | 2019-05-23 |
| 1891358172 | Marko Yacoub | Dentist | 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 | 2019-04-22 |
| 1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| 1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
| 1669901476 | Swati Agnihotri | Dentist | 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 | 2017-06-06 |
| Find all providers in zip 18015 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285859744 | Richard P Kennedy | Radiology | 1771 Deer Run Rd, Bethlehem, PA 18015-5002 | 2007-04-17 |
| 1699702258 | Edgar Tzu-ping Cheng | Radiology | 95 Highland Ave 130, Bethlehem, PA 18017-9483 | 2006-06-27 |
| 1871520924 | Jean Alexandra Kelly | Radiology | 564 Bierys Bridge Rd, Bethlehem, PA 18017-1144 | 2006-06-26 |
| 1679528921 | Joseph Patrick Russo | Radiology | 95 Highland Ave Ste 130, Bethlehem, PA 18017-9483 | 2006-05-24 |
| 1295790814 | Lpc Radiologists | Radiology | 2450 Brodhead Rd, Bethlehem, PA 18020-8900 | 2006-04-18 |
| 1225457872 | Yayone Lucia Rivaud | Radiology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2014-04-10 |
| 1801139522 | Shrita Marie Smith | Radiology | 2775 Schoenersville Rd, Bethlehem, PA 18017 | 2013-04-01 |
| 1710229968 | Michael Paul Yannes | Radiology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2013-03-25 |
| 1205173887 | Bassam Al-mamoori | Radiology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2013-01-15 |
| 1932461654 | Melkamu Dessie Adeb | Radiology | 95 Highland Ave Ste 130, Bethlehem, PA 18017 | 2012-06-08 |
| Find all providers in BETHLEHEM | ||||
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| 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.