Organization Active NPI

Mario Q.Ricci M.D., P.C.

  • Family Medicine Physician
  • Yonkers, NY
National Provider Identifier
1346446812
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
076517 Issued in NY
Legal business name
MARIO Q.RICCI M.D., P.C.
Practice address
1254 Central Park Ave
Yonkers, NY 10704-1059
Phone
(914) 963-4936
Fax
(914) 964-8336
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
Dr. Mario Q Ricci Sr., M.D.
Title
Doctor
Phone
(914) 963-4936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 076517 NY Primary

Addresses

Primary practice location

1254 Central Park Ave
Yonkers, NY 10704-1059

Mailing address

1254 Central Park Ave
Yonkers, NY 10704-1059
Phone (914) 963-4936

National Provider Directory

National Provider Directory

Locations

1254 Central Park Ave
Yonkers, NY 10704
Phone (914) 375-0022

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1346446812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 CENTRAL PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041059",
            "telephone_number": "914-963-4936",
            "fax_number": "914-964-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 CENTRAL PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041059",
            "telephone_number": "914-963-4936",
            "fax_number": "914-964-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO Q.RICCI M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "RICCI",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "914-963-4936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "076517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.