Individual provider Active NPI

Joseph Anthony Ricciardi, D.D.S.

  • General Practice Dentistry
  • Hamilton, NJ
National Provider Identifier
1760657753
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI021239 Issued in NJ
Practice address
3705 Quakerbridge Rd Ste 203
Hamilton, NJ 08619-1288
Phone
(609) 586-6688
NPI assigned
Apr 29, 2008
Last updated
Aug 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI021239 NJ Primary

Addresses

Primary practice location

3705 Quakerbridge Rd Ste 203
Hamilton, NJ 08619-1288

Mailing address

10 Duncan Dr
Morganville, NJ 07751-1650
Phone (732) 972-0829

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616001531 NJ Order and Referring Only - DentistPractitioner - Dentist 6103137294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI021239NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa D. Arthur, D.M.D., P.a. General Practice Past Accepting new patients
Gary S. Klein, D.M.D., P.a. General Practice Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1760657753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DUNCAN DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511650",
            "telephone_number": "732-972-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 QUAKERBRIDGE RD STE 203",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191288",
            "telephone_number": "609-586-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIARDI",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI021239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.