Active NPI
Jeanine Marie Ricca, D.O.
- Obstetrics & Gynecology Physician
- Cortlandt Manor, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 276046-1
- Practice address
- 1980 Crompond Rd
Cortlandt Manor, NY 10567-4144 - Phone
- (914) 788-4635
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 21493 | NH | |
| Obstetrics & Gynecology Physician | 207V00000X | DO2022-0082 | NM | |
| Obstetrics & Gynecology Physician | 207V00000X | C0705 | KY | |
| Obstetrics & Gynecology Physician | 207V00000X | DOS-2252 | HI | |
| Obstetrics & Gynecology Physician | 207V00000X | DO3224 | ME | |
| Obstetrics & Gynecology Physician | 207V00000X | LT20095 | ME | |
| Obstetrics & Gynecology Physician | 207V00000X | MED-PHYS-COM-LIC-992 | MT | |
| Obstetrics & Gynecology Physician | 207V00000X | 276046-1 | NY | Primary |
Addresses
Primary practice location
1980 Crompond Rd
Cortlandt Manor, NY 10567-4144
Mailing address
382 Washington St
Geneva, NY 14456-2739
Phone (845) 721-5987
Other practice location 1
3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461
Other practice location 2
200 North St
Suite 101
Geneva, NY 14456-1561
Phone (315) 787-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02960350 | Medicaid | NY |
Other names 1
- Dr. Jeanine Marie Ricca
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | jer9300@direct.nyp.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of New England, College of Osteo Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005113 | NY | MD | Nutritionist |
| DOS-2252 | HI | MD | Obstetrics & Gynecology Physician |
| C0705 | KY | MD | Obstetrics & Gynecology Physician |
| DO3224 | ME | MD | Obstetrics & Gynecology Physician |
| MED-PHYS-COM-LIC-992 | MT | MD | Obstetrics & Gynecology Physician |
| 21493 | NH | MD | Obstetrics & Gynecology Physician |
| DO2022-0082 | NM | MD | Obstetrics & Gynecology Physician |
| 276046-1 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rushmore OB-GYN PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg South Dakota PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Shakespeare Operating LLC | Current | Accepting new patients | |
| Clifton Springs Sanitarium Co | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Sun River Health Inc | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| House Call Medical Services of New York, PLLC | Current | Accepting new patients | |
| The Westchester Medical Practice, PC | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Bronx Medical Practice P.C. | Current | Accepting new patients | |
| Sun River Health Inc. | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| The Westchester Medical Practice, PC | Current | Accepting new patients | |
| Rochester General Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
2742 3rd Ave
Ste A
Bronx, NY 10455
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
1434 Williamsbridge Rd
Ste A
Bronx, NY 10461
1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633
2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472
1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600
200 North St
Ste 101
Geneva, NY 14456
Phone (315) 787-5100
200 North St
Geneva, NY 14456
Phone (315) 787-5100
1037 Main St
Peekskill, NY 10566
Phone (914) 734-8800
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
3006 Tower Rd
Rapid City, SD 57701
Phone (605) 343-7295
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 15
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.
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
- General Acute Care Hospital
- Clifton Springs, NY
- NPI 1366505463
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
Obstetrics & Gynecology
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1720634538
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Specialist
- Yorktown Heights, NY
- NPI 1225222953
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- Obstetrics & Gynecology Physician
- Rapid City, SD
- NPI 1164110243
-
- Obstetrics & Gynecology Physician
- Rapid City, SD
- NPI 1316050214
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1285677641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 WASHINGTON ST",
"city": "GENEVA",
"state": "NY",
"postal_code": "144562739",
"telephone_number": "845-721-5987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1980 CROMPOND RD",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105674144",
"telephone_number": "914-788-4635"
}
],
"practiceLocations": [
{
"address_1": "3073 White Mountain Hwy",
"address_purpose": "LOCATION",
"city": "North Conway",
"state": "NH",
"postal_code": "038607101",
"country_code": "US",
"telephone_number": "603-356-5461",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 North St",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Geneva",
"state": "NY",
"postal_code": "144561561",
"country_code": "US",
"telephone_number": "315-787-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICCA",
"first_name": "JEANINE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NH",
"license": "21493",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NM",
"license": "DO2022-0082",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "C0705",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "HI",
"license": "DOS-2252",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ME",
"license": "DO3224",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ME",
"license": "LT20095",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MT",
"license": "MED-PHYS-COM-LIC-992",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "276046-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02960350",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "1980 Crompond Rd",
"city": "Cortlandt Manor",
"state": "NY",
"country_code": "US",
"postal_code": "105674144",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"endpointDescription": "fhir",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "fhir",
"address_1": "1980 Crompond Rd",
"city": "Cortlandt Manor",
"state": "NY",
"country_code": "US",
"postal_code": "105674144",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jer9300@direct.nyp.org",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Address",
"address_1": "1980 Crompond Rd",
"city": "Cortlandt Manor",
"state": "NY",
"country_code": "US",
"postal_code": "105674144",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JEANINE",
"last_name": "RICCA",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "DO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cortlandt Manor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.