Individual provider Active NPI

Nicholas Joseph Ridolfi, P.A.-C.

  • Physician Assistant
  • Arlington, VA
National Provider Identifier
1326581232
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058640 Issued in PA
Practice address
2800 S Shirlington Rd FL 11
Arlington, VA 22206-3601
Phone
(703) 892-6500
Fax
(703) 892-4197
NPI assigned
Nov 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA058640 PA Primary

Addresses

Primary practice location

2800 S Shirlington Rd FL 11
Arlington, VA 22206-3601

Mailing address

1771 N Pierce St Apt 412
Arlington, VA 22209-1832
Phone (609) 634-8672

Other practice location 1

2800 S Shirlington Rd Fl 11
Arlington, VA 22206-3601
Phone (703) 892-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170127001549 PA Practitioner - Physician Assistant 2668754672 Reassigns benefits to 1 organization
I20230131003695 DC Practitioner - Physician Assistant 2668754672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anderson Clinic LLCGroup PAC ID 2264331263, 75 clinicians

Practice addresses (Care Compare)

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 892-6500

2800 S Shirlington Rd
Suite 1000
Arlington, VA 22206-3614

2800 S Shirlington Rd
Suite 1100
Arlington, VA 22206-3605

3299 Woodburn Rd
Suite 480
Annandale, VA 22003-7333
Phone (703) 892-6500

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc CurrentSince Nov 7, 2016 Accepting new patients
Einstein Practice Plan Inc CurrentSince Nov 7, 2016 Accepting new patients
Anderson Clinic LLC Physician Assistant CurrentSince Feb 1, 2023 Accepting new patients
Anderson Clinic LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

251 National Harbor Blvd
Ste 303
Oxon Hill, MD 20745

6710 Oxon Hill Rd
Ste 150
Oxon Hill, MD 20745
Phone (240) 461-6999

60 Township Line Rd
Elkins Park, PA 19027
Phone (215) 663-6000

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 York Rd
Ste 202
Philadelphia, PA 19141
Phone (215) 254-2630

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

2501 Parkers Ln
Ste 201
Alexandria, VA 22306

3299 Woodburn Rd
Ste 480
Annandale, VA 22003
Phone (703) 876-0734

2800 S Shirlington Rd
Ste 1000
Arlington, VA 22206

2445 Army Navy Dr
Arlington, VA 22206

2800 S Shirlington Rd
Ste 1100
Arlington, VA 22206
Phone (703) 769-8423

10716 Richmond Hwy
Lorton, VA 22079
Phone (270) 389-2650

10716 Richmond Hwy
Ste 101
Lorton, VA 22079
Phone (703) 997-0930

Interoperability endpoints

  • Direct secure messaging: nridolfi@andersonclinic.emadirect.md

Organizations & group practices 6

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 3

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": "1480032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1326581232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 N PIERCE ST APT 412",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222091832",
            "telephone_number": "609-634-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S SHIRLINGTON RD FL 11",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063601",
            "telephone_number": "703-892-6500",
            "fax_number": "703-892-4197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 S Shirlington Rd Fl 11",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222063601",
            "country_code": "US",
            "telephone_number": "703-892-6500",
            "fax_number": "703-892-4197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDOLFI",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-25",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.