Michael Ricciardone Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00297800 Issued in NJ

Practice address

820 Ridgewood Ave
Oradell, NJ 07649-2040

Phone

(201) 225-1665

Fax

(201) 967-0079

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073653093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MANHATTAN AVE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074632229",
            "telephone_number": "201-225-1665",
            "fax_number": "201-967-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 RIDGEWOOD AVE",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492040",
            "telephone_number": "201-225-1665",
            "fax_number": "201-967-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIARDONE",
        "first_name": "MICHAEL",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00297800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Joseph Pucci, DC
• Quality Medical and Surgical Supplies LLC.
• Regional Womens Health Group,LLC
• Rehab Consultants LLC
• Reset & Rise Counseling and Therapeutic Services
• Rivertop Dental, LLC
• Oleg Rivkin, PA-C
• Roots to Reach Occupational Therapy Services
• Jay S Rosen, MD
• Lawrence D Rosen, MD

• Chiropractor in Oradell, NJ
• Providers in Oradell, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.