Active NPI
Diana Riccioli, M.D.
- Psychiatry Physician
- Clifton, NJ
National Provider Identifier
1073631081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA06190800
- Practice address
- 925 Clifton Ave
Ste 103
Clifton, NJ 07013-2724 - Phone
- (973) 417-5256
- Fax
- (973) 471-5157
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | MA61908 | NJ | |
| Psychiatry Physician | 2084P0800X | 25MA06190800 | NJ | Primary |
Addresses
Primary practice location
925 Clifton Ave
Ste 103
Clifton, NJ 07013-2724
Mailing address
230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone (201) 967-4000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1988
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
610 Valley Health Plaza
Paramus, NJ 07652-3607
610 Valley Health PLZ
Paramus, NJ 07652-3607
Phone (201) 265-8200
925 Clifton Ave
Suite 103
Clifton, NJ 07013-2724
Phone (973) 471-5256
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA61908 | NJ | MD | Behavioral Neurology & Neuropsychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Plus NJ, Inc. | Single Specialty | Current | Accepting new patients |
| Care Plus New Jersey, Inc. | Current | Accepting new patients |
Locations
610 Valley Health Plz
Paramus, NJ 07652
Phone (201) 797-2660
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Paramus, NJ
- NPI 1629307863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1073631081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 E RIDGEWOOD AVE",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076524142",
"telephone_number": "201-967-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 CLIFTON AVE",
"address_2": "STE 103",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070132724",
"telephone_number": "973-417-5256",
"fax_number": "973-471-5157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICCIOLI",
"first_name": "DIANA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084B0040X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "NJ",
"license": "MA61908",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA06190800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.