Organization Active NPI

Robert J Ricchetti MD

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1033231600
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD023106-E Issued in PA
Legal business name
ROBERT J RICCHETTI MD
Practice address
9140 Academy Road
Suite G
Philadelphia, PA 19114
Phone
(215) 624-7333
Fax
(215) 624-7955
NPI assigned
Apr 4, 2007
Last updated
Jan 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Mrs. Joan M Ricchetti
Title
Office Manager
Phone
(215) 624-7333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD023106-E PA Primary

Addresses

Primary practice location

9140 Academy Road
Suite G
Philadelphia, PA 19114

Mailing address

9140 Academy Road
Suite G
Philadelphia, PA 19114
Phone (215) 624-7333

Other identifiers 2

IdentifierTypeStateIssuer
2816685000OtherPABLUE SHIELD
2816685001OtherPAKEYSTONE

National Provider Directory

National Provider Directory

Locations

9140 Academy Rd
Ste G
Philadelphia, PA 19114
Phone (215) 378-5162

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1033231600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 ACADEMY ROAD",
            "address_2": "SUITE G",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19114",
            "telephone_number": "215-624-7333",
            "fax_number": "215-624-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 ACADEMY ROAD",
            "address_2": "SUITE G",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19114",
            "telephone_number": "215-624-7333",
            "fax_number": "215-624-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J RICCHETTI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "RICCHETTI",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-624-7333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD023106-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2816685000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2816685001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.