Active NPIIndividual providerSole proprietor

Dr. Jerome A Ricciardi, DPM

Podiatrist, Foot & Ankle Surgery in Elizabeth, New Jersey

NPI Number1093730392
Practice location
507 Rahway Ave, Elizabeth, NJ 07202-2308
Fax
908-469-6303
Last updated
September 21, 2012

Jerome A. Ricciardi is a Podiatrist, Foot & Ankle Surgery based in Elizabeth, NJ. Jerome A. Ricciardi practices in Elizabeth, NJ and has the professional credentials of DPM. The NPI Number for Jerome A. Ricciardi is 1093730392 and holds a License No. 25MD00097900 (NJ). The current practice location address for Jerome A. Ricciardi is 507 Rahway Ave, Elizabeth, NJ 07202-2308 and can be reached out via phone at 908-352-0034 and via fax at 908-469-6303.

Provider Profile Details

NPI Number
1093730392
Provider Name
Jerome A. Ricciardi
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
507 Rahway Ave, Elizabeth, NJ 07202-2308
Phone Number
908-352-0034
Fax Number
908-469-6303
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
Yes
Provider Enumeration Date
July 13, 2006
Last Update Date
September 21, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
507 Rahway Ave
Elizabeth, NJ 07202-2308
Zip
07202-2308
Phone Number
908-352-0034
Fax Number
908-469-6303
Elizabeth, NJ 07202Get directions →

Provider Business Mailing Address Details

Address
507 Rahway Ave
Elizabeth, NJ 07202-2308
City
Elizabeth
State
NJ
Zip
07202-2308
Phone Number
908-352-0034
Fax Number
908-352-0034

License Information

License Number
25MD00097900
License State
NJ
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jerome A Ricciardi, DPM?

The NPI number of Dr. Jerome A Ricciardi, DPM is 1093730392. It was assigned on July 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jerome A Ricciardi, DPM?

Dr. Jerome A Ricciardi, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00097900.

Where does Dr. Jerome A Ricciardi, DPM practice?

The practice location is 507 Rahway Ave, Elizabeth, NJ 07202-2308. The office can be reached at 908-352-0034 (phone) or 908-469-6303 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093730392 directly on the NPPES registry website.

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