Ricki L Gottlieb, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA05950700 Issued in NJ

Practice address

765 Route 10 East, Suite 203
College Plaza Pediatrics
Randolph, NJ 07869-1925

Phone

(973) 659-9991

Fax

(973) 659-9632

NPI assigned

Jan 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• College Plaza Pediatrics

  • Pediatrics Physician
  • Randolph, NJ
  • NPI 1417083403
  NPD (past)

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1437336039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 RT 10 EAST SUITE 203",
            "address_2": "COLLEGE PLAZA PEDIATRICS",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078691925",
            "telephone_number": "973-659-9991",
            "fax_number": "973-659-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 ROUTE 10 EAST, SUITE 203",
            "address_2": "COLLEGE PLAZA PEDIATRICS",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078691925",
            "telephone_number": "973-659-9991",
            "fax_number": "973-659-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "RICKI",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA05950700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Gold, DMD
• Elisabeth Rachel Goldstein, M.D.
• Glen M Goldstein
• Zachary Goldstein, DMD
• Kaitlin Dickert Gonzales, D.P.M
• Thomas J Grable, ATC, PTA
• Sara Grapski, NCSP
• Deanna Graziani, DPT
• Great Atlantic & Pacific Tea Company Inc
• Green Vision Inc.

• Pediatrics Physician in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.