Individual provider Active NPI

Saige Bree Ricci, DO

  • Family Medicine Physician
  • Lake Ronkonkoma, NY
National Provider Identifier
1619664240
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
332526 Issued in NY
Practice address
601 Portion Rd Ste 2
Lake Ronkonkoma, NY 11779-4585
Phone
(631) 648-9708
Fax
(631) 772-2495
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 332526 NY Primary
Hospitalist Physician 208M00000X 332526 NY

Addresses

Primary practice location

601 Portion Rd Ste 2
Lake Ronkonkoma, NY 11779-4585

Mailing address

601 Portion Rd Ste 2
Lake Ronkonkoma, NY 11779-4585
Phone (631) 648-9708

Other names 1

  • Saige Bree Greenwell Former name

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
I20241120002725 NY Practitioner - Hospitalist 5294260774 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
332526NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Medical Physician Associates PC Hospitalist CurrentSince Nov 15, 2024 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Nov 15, 2024 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1619664240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PORTION RD STE 2",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117794585",
            "telephone_number": "631-648-9708",
            "fax_number": "631-772-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PORTION RD STE 2",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117794585",
            "telephone_number": "631-648-9708",
            "fax_number": "631-772-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCI",
        "first_name": "SAIGE",
        "middle_name": "BREE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "332526",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "332526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAIGE",
            "last_name": "GREENWELL",
            "middle_name": "BREE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Ronkonkoma, NY

Sources for this page

Verify at the official NPI Registry.