Active NPI
Jane Riccobono
- Women's Health Nurse Practitioner
- New York, NY
National Provider Identifier
1467918680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 95010708
- Practice address
- 139 Centre St PH 120
New York, NY 10013-4559 - Phone
- (888) 731-8994
- NPI assigned
- Feb 12, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 95010708 | CA | Primary |
Addresses
Primary practice location
139 Centre St PH 120
New York, NY 10013-4559
Mailing address
139 Centre St PH 120
New York, NY 10013-4559
Phone (888) 731-8994
Other practice location 1
445 S Figueroa St Fl 31
Los Angeles, CA 90071-1602
Phone (888) 731-8994
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
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95010708 | CA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Womens Care PC | Past | Accepting new patients |
Interoperability endpoints
- jane.riccobono.1@27069.direct.athenahealth.com
Organizations & group practices 1
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.
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- Palo Alto, CA
- NPI 1972266732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1467918680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 CENTRE ST PH 120",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134559",
"telephone_number": "888-731-8994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 CENTRE ST PH 120",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134559",
"telephone_number": "888-731-8994"
}
],
"practiceLocations": [
{
"address_1": "445 S Figueroa St Fl 31",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900711602",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICCOBONO",
"first_name": "JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-12",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "95010708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.