Individual provider Active NPI

Jeanine Marie Ricca, D.O.

  • Obstetrics & Gynecology Physician
  • Cortlandt Manor, NY
National Provider Identifier
1285677641
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
276046-1 Issued in NY
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

Updated by the provider on May 25, 2023

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02960350MedicaidNY

Other names 1

  • Dr. Jeanine Marie Ricca Other name

Electronic endpoints 3

TypeEndpointUseAffiliation
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, SD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141007000751 NY Practitioner - Obstetrics/Gynecology 3375438666 Reassigns benefits to 9 organizations
I20231102003045 SD Practitioner - Obstetrics/Gynecology 3375438666 Reassigns benefits to 2 organizations

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
Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians

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

LicenseStateTypeSpecialty
005113NYMDNutritionist
DOS-2252HIMDObstetrics & Gynecology Physician
C0705KYMDObstetrics & Gynecology Physician
DO3224MEMDObstetrics & Gynecology Physician
MED-PHYS-COM-LIC-992MTMDObstetrics & Gynecology Physician
21493NHMDObstetrics & Gynecology Physician
DO2022-0082NMMDObstetrics & Gynecology Physician
276046-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rushmore OB-GYN PC Obstetrics & Gynecology CurrentSince Mar 1, 2024 Accepting new patients
Obhg South Dakota PC Obstetrics & Gynecology CurrentSince Oct 6, 2023 Accepting new patients
Shakespeare Operating LLC CurrentSince Jun 26, 2025 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Oct 28, 2019 Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 26, 2025 Accepting new patients
Sun River Health Inc Current Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 26, 2025 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jun 26, 2025 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Jun 1, 2023 Accepting new patients
Rochester General Hospital CurrentSince Oct 28, 2019 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Jun 26, 2025 Accepting new patients
Sun River Health Inc. CurrentSince Nov 15, 2021 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Sep 1, 2015 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Jun 1, 2023 Accepting new patients
Rochester General Hospital Obstetrics & Gynecology CurrentSince Oct 28, 2019 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.

View all 15

NPI Registry JSON

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

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1285677641",
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            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562739",
            "telephone_number": "845-721-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
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        }
    ],
    "practiceLocations": [
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            "city": "North Conway",
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            "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",
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            "postal_code": "144561561",
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            "country_name": "United States",
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        }
    ],
    "basic": {
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        "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": [
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            "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",
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    "identifiers": [
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            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02960350",
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    "endpoints": [
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            "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"
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        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
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            "contentTypeDescription": "Other",
            "contentOtherDescription": "fhir",
            "address_1": "1980 Crompond Rd",
            "city": "Cortlandt Manor",
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            "country_code": "US",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jer9300@direct.nyp.org",
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            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
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            "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

Verify at the official NPI Registry.