Active NPIIndividual providerSole proprietor

Dr. Richard A Pucci, DO

Surgery in Ridgewood, New Jersey

NPI Number1679572739
Practice location
61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255
Fax
201-447-2809
Last updated
September 25, 2009

Richard A Pucci is a Surgery based in Ridgewood, NJ. Richard A Pucci practices in Ridgewood, NJ and has the professional credentials of DO. The NPI Number for Richard A Pucci is 1679572739 and holds a License No. 232242 (NY). The current practice location address for Richard A Pucci is 61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255 and can be reached out via phone at 201-447-2808 and via fax at 201-447-2809.

Provider Profile Details

NPI Number
1679572739
Provider Name
Richard A Pucci
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255
Phone Number
201-447-2808
Fax Number
201-447-2809
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
Yes
Provider Enumeration Date
July 20, 2005
Last Update Date
September 25, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
61 N Maple Ave
Suite 205
Ridgewood, NJ 07450-3255
Zip
07450-3255
Phone Number
201-447-2808
Fax Number
201-447-2809
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
61 N Maple Ave
Suite 205
Ridgewood, NJ 07450-3255
City
Ridgewood
State
NJ
Zip
07450-3255
Phone Number
201-447-2808
Fax Number
201-447-2809

License Information

License Number (1)
232242
License State (1)
NY
Taxonomy (1)
Surgery · 208600000X
License Number (2)
25MB07801000
License State (2)
NJ
Taxonomy (2)
Surgery · 208600000X · 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. Richard A Pucci, DO?

The NPI number of Dr. Richard A Pucci, DO is 1679572739. It was assigned on July 20, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Richard A Pucci, DO?

Dr. Richard A Pucci, DO is registered under the primary taxonomy Surgery (code 208600000X), licensed in NY under license number 232242.

Where does Dr. Richard A Pucci, DO practice?

The practice location is 61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255. The office can be reached at 201-447-2808 (phone) or 201-447-2809 (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 1679572739 directly on the NPPES registry website.

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