Individual provider Active NPI

Ryan D. Federico-Piccioni, RNC

  • Family Nurse Practitioner
  • Voorhees, NJ
National Provider Identifier
1720754922
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01358700 Issued in NJ
Practice address
903 Sheppard Rd
Voorhees, NJ 08043-4695
Phone
(856) 772-2300
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR15798400 NJ
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 26NJ01358700 NJ Primary
Registered Nurse 163W00000X RN632050 PA

Addresses

Primary practice location

903 Sheppard Rd
Voorhees, NJ 08043-4695

Mailing address

30 Hunter LN
Camp Hill, PA 17011-2400
Phone (800) 748-3243

Other practice location 1

30 Hunter Ln
Camp Hill, PA 17011-2400
Phone (800) 748-3243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230217000065 NJ Practitioner - Nurse Practitioner 4587036793 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Medical ImagingGroup PAC ID 0345215141, 109 clinicians

Practice addresses (Care Compare)

44 E Jimmie Leeds Rd
Suite 101
Galloway, NJ 08205-9599
Phone (609) 677-9729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR15798400NJMDRegistered Nurse
RN632050PAMDRegistered Nurse
26NJ01358700NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Radiologists Professional Association LLC Single Specialty CurrentSince Nov 17, 2025 Accepting new patients
Ami Atlanticare LLC Single Specialty CurrentSince Nov 17, 2025 Accepting new patients
Atlantic Medical Imaging Single Specialty CurrentSince Nov 17, 2025 Accepting new patients

Locations

1401 Atlantic Ave
Atlantic City, NJ 08401
Phone (609) 441-7088

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000

44 E Jimmie Leeds Rd
Ste 101
Galloway, NJ 08205
Phone (609) 652-7349

219 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 878-9729

517 Route 72 W
Manahawkin, NJ 08050
Phone (609) 384-7729

30 E Maryland Ave
Somers Point, NJ 08244
Phone (609) 653-0209

Organizations & group practices 3

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1720754922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HUNTER LN",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112400",
            "telephone_number": "800-748-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 SHEPPARD RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434695",
            "telephone_number": "856-772-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Hunter Ln",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170112400",
            "country_code": "US",
            "telephone_number": "800-748-3243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDERICO-PICCIONI",
        "first_name": "RYAN",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "RNC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR15798400",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01358700",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN632050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.