Active NPI
Albert H Riccio, MD
- Cardiovascular Disease Physician
- East Setauket, NY
National Provider Identifier
1295844702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 114506-1
- Practice address
- 45 Research Way
Suite 008 & 108
East Setauket, NY 11733-6401 - Phone
- (631) 941-2704
- Fax
- (631) 941-2009
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 114506-1 | NY | Primary |
Addresses
Primary practice location
45 Research Way
Suite 008 & 108
East Setauket, NY 11733-6401
Mailing address
45 Research Way
Suite 008 & 108
East Setauket, NY 11733-6401
Phone (631) 941-2704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114506-1 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Suffolk Cardiology Associates | Cardiovascular Disease | Past | Accepting new patients |
| Stony Brook Internists, University Faculty Practice Corporation | Past | Accepting new patients | |
| Stony Brook Community Medical, P.C. | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- East Setauket, NY
- NPI 1386603249
-
- Cardiovascular Disease Physician
- East Setauket, NY
- NPI 1972812220
-
- Medical Oncology Physician
- Stony Brook, NY
- NPI 1184679342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234224000000",
"number": "1295844702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 RESEARCH WAY",
"address_2": "SUITE 008 & 108",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117336401",
"telephone_number": "631-941-2704",
"fax_number": "631-941-2009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 RESEARCH WAY",
"address_2": "SUITE 008 & 108",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117336401",
"telephone_number": "631-941-2704",
"fax_number": "631-941-2009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICCIO",
"first_name": "ALBERT",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2009-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "114506-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.