Individual provider Active NPI

Dominic A. Riccio, D.C.

  • Chiropractor
  • Oakhurst, NJ
National Provider Identifier
1114971868
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00357800 Issued in NJ
Practice address
1633 Highway 35
Highway 35
Oakhurst, NJ 07755-2970
Phone
(732) 531-3636
Fax
(732) 531-2099
NPI assigned
May 19, 2006
Last updated
Jun 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00357800 NJ Primary

Addresses

Primary practice location

1633 Highway 35
Highway 35
Oakhurst, NJ 07755-2970

Mailing address

1633 Highway 35
Highway 35
Oakhurst, NJ 07755-2970
Phone (732) 531-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060602000094 NJ Practitioner - Chiropractic 8426069626 Practice locations: Oakhurst, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1633 Hwy 35 N
Suite 4
Oakhurst, NJ 07755

2001 Bellmore St
Oakhurst, NJ 07755-2701
Phone (732) 531-3636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dominic a. Riccio, D.C. Chiropractor PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1114971868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 HIGHWAY 35",
            "address_2": "HIGHWAY 35",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552970",
            "telephone_number": "732-531-3636",
            "fax_number": "732-531-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 HIGHWAY 35",
            "address_2": "HIGHWAY 35",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552970",
            "telephone_number": "732-531-3636",
            "fax_number": "732-531-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIO",
        "first_name": "DOMINIC",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00357800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.