Individual provider Active NPI

Marc Francis Riccardi, DPT

  • Orthopedic Physical Therapist
  • Basking Ridge, NJ
National Provider Identifier
1023071982
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
QA9717 Issued in NJ
Practice address
150 N Finley Ave
Basking Ridge, NJ 07920-1686
Phone
(908) 340-4772
Fax
(908) 340-4774
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X QA9717 NJ Primary

Addresses

Primary practice location

150 N Finley Ave
Basking Ridge, NJ 07920-1686

Mailing address

150 N Finley Ave
Basking Ridge, NJ 07920-1686
Phone (908) 340-4772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060323000488 NJ Practitioner - Physical Therapist in Private Practice 7214945849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Rutgers New Jersey Medical School, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

150 N Finley Ave
Basking Ridge, NJ 07920-1686
Phone (908) 340-4772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA9717NJMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Basking Ridge Physical Therapy, LLC Orthopedic CurrentSince Sep 4, 2012 Accepting new patients
Berkeley Heights Physical Therapy, LLC Orthopedic CurrentSince Feb 24, 2006 Accepting new patients
Peter Barnett & Howard J Phillips Orthopedic Past Accepting new patients

Locations

150 N Finley Ave
Basking Ridge, NJ 07920
Phone (908) 340-4266

415 Springfield Ave
Berkeley Hts, NJ 07922
Phone (908) 898-1950

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1023071982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N FINLEY AVE",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201686",
            "telephone_number": "908-340-4772",
            "fax_number": "908-340-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N FINLEY AVE",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201686",
            "telephone_number": "908-340-4772",
            "fax_number": "908-340-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCARDI",
        "first_name": "MARC",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "QA9717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basking Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.