Active NPI
Michael De Jesus Vera Ricaurte, MD
- Student in an Organized Health Care Education/Training Program
- Philadelphia, PA
National Provider Identifier
1497595490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Albert Einstein Medical Center, 5501 Old York Road,
Phila., PA 19141
Philadelphia, PA 19141 - Phone
- (215) 456-6500
- NPI assigned
- May 28, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Albert Einstein Medical Center, 5501 Old York Road,
Phila., PA 19141
Philadelphia, PA 19141
Mailing address
Albert Einstein Medical Center, 5501 Old York Road,
Phila., PA 19141
Philadelphia, PA 19141
Phone (215) 456-6500
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)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1497595490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ALBERT EINSTEIN MEDICAL CENTER, 5501 OLD YORK ROAD,",
"address_2": "PHILA., PA 19141",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19141",
"telephone_number": "215-456-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ALBERT EINSTEIN MEDICAL CENTER, 5501 OLD YORK ROAD,",
"address_2": "PHILA., PA 19141",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19141",
"telephone_number": "215-456-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERA RICAURTE",
"first_name": "MICHAEL",
"middle_name": "DE JESUS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-28",
"last_updated": "2024-05-28",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.