NPIMap

Organization Active NPI

Am Ricciardi

  • Specialist
  • East Orange, NJ
National Provider Identifier
1073920435
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3564400 Issued in NJ
Legal business name
AM RICCIARDI
Practice address
172 Halsted St
East Orange, NJ 07018-2663
Phone
(973) 678-3133
NPI assigned
Jul 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Mrs. Tanya McFadden
Title
Medical Assistant
Phone
(973) 678-3133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 3564400 NJ Primary

Addresses

Primary practice location

172 Halsted St
East Orange, NJ 07018-2663

Mailing address

172 Halsted St
East Orange, NJ 07018-2663

Other identifiers 1

IdentifierTypeStateIssuer
3097102MedicaidNJ

National Provider Directory

National Provider Directory

Locations

172 Halsted St
East Orange, NJ 07018
Phone (973) 678-3133

Practitioners & affiliated clinicians

Practitioners 4

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": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1073920435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 HALSTED ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 HALSTED ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182663",
            "telephone_number": "973-678-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AM RICCIARDI",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "MCFADDEN",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "973-678-3133",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "3564400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3097102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.