Active NPI
Riccardo Ricciardi Jr., MD
- Urology Physician
- Bayside, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 186804
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01518381 | Medicaid | NY |
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
Enrollment records 1
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
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 100
- Quality
- 82.16
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 75.98
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.57 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.22
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.41 of 100
- Quality
- 64.77
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 70.76
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 186804 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Valley Lithotripsy Associates, P.C. | Urology | Current | Accepting new patients |
| Integrated Medical Professionals PLLC | Urology | Current | Accepting new patients |
| Integrated Medical Professionals PLLC | Urology | Current | Accepting new patients |
| TJH Medical Services, P.C. | Urology | Current | Accepting new patients |
| Flushing Hospital & Medical Center | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Flushing Hospital Medical Center | Current | 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
- jricciardiriccardo2045@direct.medisys.org
- 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.
-
- Urology Physician
- Lake Success, NY
- NPI 1346203536
-
dba Jamaica Hospital Emergency Department - Radiology
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1548217763
-
- Urology Physician
- Hartsdale, NY
- NPI 1437242781
-
- Skilled Nursing Facility
- Flushing, NY
- NPI 1568693174
-
dba Advanced Urology Centers of Ny - Manhattan
- Durable Medical Equipment & Medical Supplies
- New York, NY
- NPI 1295534626
Urology
-
- Skilled Nursing Facility
- Jamaica, NY
- NPI 1750516795
-
- Non-Pharmacy Dispensing Site
- New Hyde Park, NY
- NPI 1073918009
-
- General Acute Care Hospital
- Richmond Hill, NY
- NPI 1245370717
-
- Ambulatory Family Planning Facility
- Richmond Hill, NY
- NPI 1134376254
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1154461622
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1548217763
-
- General Acute Care Hospital
- Richmond Hill, NY
- NPI 1245370717
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.