Active NPI
Elizabeth Ann Riccio, D.D.S.
- Dentist
- Troy, NY
National Provider Identifier
1518280866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 037831-1
- Practice address
- 80 Vandenburgh Ave
Fitzgibbons Hall
Troy, NY 12180-6096 - Phone
- (518) 629-7434
- Fax
- (518) 629-8111
- NPI assigned
- Mar 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 037831-1 | NY | Primary |
Addresses
Primary practice location
80 Vandenburgh Ave
Fitzgibbons Hall
Troy, NY 12180-6096
Mailing address
80 Vandenburgh Ave
Fitzgibbons Hall
Troy, NY 12180-6096
Phone (518) 629-7434
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037831-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1518280866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 VANDENBURGH AVE",
"address_2": "FITZGIBBONS HALL",
"city": "TROY",
"state": "NY",
"postal_code": "121806096",
"telephone_number": "518-629-7434",
"fax_number": "518-629-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 VANDENBURGH AVE",
"address_2": "FITZGIBBONS HALL",
"city": "TROY",
"state": "NY",
"postal_code": "121806096",
"telephone_number": "518-629-7434",
"fax_number": "518-629-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICCIO",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-01",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "037831-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.