Individual provider Active NPI

Riccardo Ricciardi Jr., MD

  • Urology Physician
  • Bayside, NY
National Provider Identifier
1558307256
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
186804 Issued in NY
Practice address
21008 Northern Blvd
Suite 4
Bayside, NY 11361-3211
Phone
(718) 539-5100
Fax
(718) 539-2706
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 186804 NY Primary

Addresses

Primary practice location

21008 Northern Blvd
Suite 4
Bayside, NY 11361-3211

Mailing address

532 Broadhollow Rd
Suite 142
Melville, NY 11747-3672
Phone (516) 931-0041

Other identifiers 1

IdentifierTypeStateIssuer
01518381MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040320000540 NY Practitioner - Urology 3971494055 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
New York Medical College, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TJH Medical Services PCGroup PAC ID 8527960533, 215 clinicians
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians

Practice addresses (Care Compare)

120 46 Queens Blvd
Kew Gardens, NY 11415
Phone (718) 006-6708

13247 Metropolitan Ave
Richmond Hill, NY 11418-1949
Phone (718) 301-0720

13303 Jamaica Ave
Richmond Hill, NY 11418-2618
Phone (718) 291-3276

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 970-7000

340 Broadhollow Rd
Suite E
Farmingdale, NY 11735-4807
Phone (516) 280-7930

4100 Duff PL
A
Seaford, NY 11783-1324
Phone (516) 520-8080

4500 Parsons Blvd
Flushing, NY 11355-2205
Phone (718) 670-5000

89 -40
Jamaica, NY 11418-2832
Phone (718) 206-5200

8900 Van Wyck Expressway
Jamaica, NY 11418-2832

8900 Van Wyck Expressway
4 Floor C Building
Jamaica, NY 11418-2821
Phone (718) 206-6894

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6000

8906 135TH St
Jamaica, NY 11418-2821

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
82.16
Promoting interoperability
79
Improvement activities
40
Cost
75.98

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
75.22

Merit-based Incentive Payment System (MIPS)

Final score
85.41 of 100Reported as group
Quality
64.77
Promoting interoperability
79
Improvement activities
40
Cost
70.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
186804NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Lithotripsy Associates, P.C. Urology CurrentSince Aug 1, 2023 Accepting new patients
Integrated Medical Professionals PLLC Urology CurrentSince Sep 28, 2008 Accepting new patients
Integrated Medical Professionals PLLC Urology CurrentSince Sep 28, 2008 Accepting new patients
TJH Medical Services, P.C. Urology CurrentSince Jul 1, 1993 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Aug 1, 2011 Accepting new patients
Jamaica Hospital CurrentSince Mar 29, 2012 Accepting new patients
Jamaica Hospital CurrentSince Mar 29, 2012 Accepting new patients
Flushing Hospital Medical Center CurrentSince Aug 1, 2011 Accepting new patients
Jamaica Hospital Medical Center Past Accepting new patients
Jamaica Hospital Past Accepting new patients
Integrated Medical Professionals PLLC Past Accepting new patients
For-Med Medical Past Accepting new patients
Jamaica Hospital Medical Center Past Accepting new patients

Locations

9010 Strada Stell Ct
Ste 103
Naples, FL 34109
Phone (800) 669-7744

480 Hicksville Rd
Bethpage, NY 11714
Phone (516) 796-2222

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

3530 Francis Lewis Blvd
Ste 201
Flushing, NY 11358
Phone (718) 539-5100

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

101 S Central Ave
Hartsdale, NY 10530
Phone (516) 461-2428

11120 Merrick Blvd
Jamaica, NY 11433
Phone (718) 206-7510

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

160 E 32nd St
Ste 101
New York, NY 10016
Phone (212) 481-8118

27005 76th Ave
North New Hyde Pk, NY 11040

3111 New Hyde Park Rd
North New Hyde Pk, NY 11042
Phone (516) 365-2300

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

4100 Duff Pl
#A
Seaford, NY 11783
Phone (516) 520-8080

2500 Nesconset Hwy
Bldg 21A
Stony Brook, NY 11790
Phone (631) 751-4000

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: jricciardiriccardo2045@direct.medisys.org
  • Direct secure messaging: riccardoricciardijr@imppllc.allscriptsdirect.net

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1558307256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 BROADHOLLOW RD",
            "address_2": "SUITE 142",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473672",
            "telephone_number": "516-931-0041",
            "fax_number": "516-822-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21008 NORTHERN BLVD",
            "address_2": "SUITE 4",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613211",
            "telephone_number": "718-539-5100",
            "fax_number": "718-539-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIARDI",
        "first_name": "RICCARDO",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "186804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01518381",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.