Active NPI
Robert J Ricchetti MD
- Pediatrics Physician
- Philadelphia, PA
National Provider Identifier
1033231600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD023106-E
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2816685000 | Other | PA | BLUE SHIELD |
| 2816685001 | Other | PA | KEYSTONE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Marriage & Family Therapist
- Philadelphia, PA
- NPI 1174768915
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1225051501
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.