James E Riccelli, DM

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1541 Issued in NY

Practice address

5100 W Taft Rd
Liverpool, NY 13088-3807

Phone

(315) 452-2200

Fax

(315) 452-2204

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lecia M Riccelli Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kuss Physical Therapy PLLC

  • Physical Therapist
  • Central Square, NY
  • NPI 1265590137

  Clinic/Center

  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760569644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 BECKER RD",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130298700",
            "telephone_number": "315-676-3169",
            "fax_number": "315-676-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-452-2200",
            "fax_number": "315-452-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCELLI",
        "first_name": "JAMES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "1541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LECIA",
            "last_name": "RICCELLI",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "WIFE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mark A Relyea, LPN
• Retina-Vitreous Surgeons of Central New York, PC
• Sonya Rettig
• Return to Compete Physical Therapy, PLLC
• Nicole M Reynolds, PT
• Angela Rice
• Lydia Joy Richard, OTR/L
• Steven Richard
• Colden Richards
• Cassandra Victoria Richardson

• Clinic/Center in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.