Individual provider Active NPI

Peter Anthony Ricketti, D.O.

  • Allergy & Immunology (Internal Medicine) Physician
  • Trenton, NJ
National Provider Identifier
1013283233
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
25MB10285900 Issued in NJ
Practice address
1544 Kuser Rd Ste C6
Trenton, NJ 08619-3830
Phone
(609) 581-9900
Fax
(609) 581-9905
NPI assigned
Apr 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X OS13538 FL
Sleep Medicine (Internal Medicine) Physician 207RS0012X 25MB10285900 NJ
Sleep Medicine (Internal Medicine) Physician 207RS0012X OS13538 FL
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 25MB10285900 NJ Primary

Addresses

Primary practice location

1544 Kuser Rd Ste C6
Trenton, NJ 08619-3830

Mailing address

1544 Kuser Rd Ste C6
Trenton, NJ 08619-3830
Phone (609) 581-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180523000530 NJ Practitioner - Allergy/ImmunologyPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5294031704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Critical Care (Intensivists), Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercer Allergy and Pulmonary Associates LLCGroup PAC ID 9436376605, 2 clinicians

Practice addresses (Care Compare)

1544 Kuser Rd
Trenton, NJ 08619-3830
Phone (609) 581-1400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS13538FLMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercer Allergy & Pulmonary Associates, LLC Allergy & Immunology CurrentSince May 1, 2018 Accepting new patients

Locations

7221 W 79th St
Ste 205
Overland Park, KS 66204

1544 Kuser Rd
Ste C6
Trenton, NJ 08619
Phone (609) 581-1400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABHCBD/Endpoint/ABHCBD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1013283233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 KUSER RD STE C6",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193830",
            "telephone_number": "609-581-9900",
            "fax_number": "609-581-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 KUSER RD STE C6",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193830",
            "telephone_number": "609-581-9900",
            "fax_number": "609-581-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETTI",
        "first_name": "PETER",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "FL",
            "license": "OS13538",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "25MB10285900",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "OS13538",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NJ",
            "license": "25MB10285900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.