Nicholas Vertucci Riccio, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

021002755 Issued in IL

Practice address

3332 Rochambeau Ave
Bronx, NY 10467-2836

Phone

(718) 920-5997

NPI assigned

May 24, 2013

Last updated

Jun 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1649617093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 PRAIRIE AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374033",
            "telephone_number": "630-805-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 ROCHAMBEAU AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672836",
            "telephone_number": "718-920-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIO",
        "first_name": "NICHOLAS",
        "middle_name": "VERTUCCI",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-24",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021002755",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Anne Ricarte, PT
• Allison Riccardi
• Amanda Ricci
• Trevor Jason Ricci, COTA/L
• Zina J Ricci, MD
• Brianna Riccobono, M.D.
• Gloria Rice
• Richard Rice, LMSW
• Ronald Rice, M.D. PHD
• Jacqueline Ricevalentine

• Orthodontics and Dentofacial Orthopedics Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.