Ricardo Issa Physician PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

215565 Issued in NY

Legal business name

RICARDO ISSA PHYSICIAN PC

Practice address

157 E 72ND St
New York, NY 10021-4331

Phone

(212) 772-1211

Fax

(212) 249-2421

NPI assigned

Nov 14, 2011

Organization subpart

No

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

Authorized official

Name

Ricardo Issa, MDNPI 1922041524

Title

Owner

Phone

(212) 772-1211

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricardo Fabian Issa

  • Internal Medicine Physician
  • New York, NY
  • NPI 1922041524
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1306123740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 SHORE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145813",
            "telephone_number": "212-772-1211",
            "fax_number": "212-249-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214331",
            "telephone_number": "212-772-1211",
            "fax_number": "212-249-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO ISSA PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-772-1211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "215565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giulietta Maria Riboldi, MD PHD
• Tamara Anne Ricaforte, OTR/L
• Angelina G Ricafrente, DMD
• Heather Elizabeth Ricard, L.AC.
• Ricardo Despradel Mental Health Counseling, PLLC
• Luisa Maria Ricaurte Archila, MD
• Sofia Ricaurte
• Nina Marie Riccardella
• Bridgette Riccardi, PT, DPT
• Donna Ann Riccardi, NP

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.