Individual provider Active NPI

Anthony J Ricketti, M.D.

  • Pulmonary Disease Physician
  • Trenton, NJ
National Provider Identifier
1285680850
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA04369400 Issued in NJ
Practice address
1544 Kuser Rd
Suite C-6
Trenton, NJ 08619-3830
Phone
(609) 581-9900
Fax
(609) 581-9905
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 25MA04369400 NJ
Pulmonary Disease Physician 207RP1001X 25MA04369400 NJ Primary

Addresses

Primary practice location

1544 Kuser Rd
Suite C-6
Trenton, NJ 08619-3830

Mailing address

1544 Kuser Rd Ste C6
Trenton, NJ 08619-3830
Phone (609) 581-9900

Other identifiers 1

IdentifierTypeStateIssuer
1213709MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100218000832 NJ Practitioner - Allergy/ImmunologyPractitioner - Pulmonary Disease 0941344667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pulmonary Disease
Education
Hahnemann University College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercer Allergy and Pulmonary Associates LLCGroup PAC ID 9436376605, 2 clinicians

Practice addresses (Care Compare)

1544 Kuser Rd
Trenton, NJ 08619-3830
Phone (609) 581-1400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy and Pulmonary Assoc. PA Allergy & Immunology Current Accepting new patients
Mercer Allergy & Pulmonary Associates, LLC Allergy & Immunology CurrentSince Aug 1, 2014 Accepting new patients

Locations

7221 W 79th St
Ste 205
Overland Park, KS 66204

19800 Metcalf Ave
Unit 502
Stilwell, KS 66085

1542 Kuser Rd
Ste B7
Trenton, NJ 08619
Phone (609) 581-1400

1544 Kuser Rd
Ste C6
Trenton, NJ 08619
Phone (609) 581-1400

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1285680850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 KUSER RD STE C6",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193830",
            "telephone_number": "609-581-9900",
            "fax_number": "609-581-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 KUSER RD",
            "address_2": "SUITE C-6",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193830",
            "telephone_number": "609-581-9900",
            "fax_number": "609-581-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETTI",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA04369400",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA04369400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1213709",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.