Jesus Manuel Pichardo, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

188066 Issued in NY

Practice address

1623 Weirfield St
Ridgewood, NY 11385-5349

Phone

(718) 456-4600

Fax

(718) 418-3549

NPI assigned

Nov 29, 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

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.

• Jesus Pichardo MD PC

  • Primary Care Clinic/Center
  • Ridgewood, NY
  • NPI 1295902468
  NPD (past) Authorized official

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1851468433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 WEIRFIELD ST",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855349",
            "telephone_number": "718-456-4600",
            "fax_number": "718-418-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 WEIRFIELD ST",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855349",
            "telephone_number": "718-456-4600",
            "fax_number": "718-418-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHARDO",
        "first_name": "JESUS",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "188066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01463212",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Perrone, M.D.
• Edward C Peters
• Armelle Resia Petit
• Taras Petsyukh, RN
• Diamond Phillips
• Emily Pier
• Maria Pietruszka, LMHC, CASAC-T
• Veronica Maria Pincay
• David Danielovich Pinkhasov, PHARM.D
• Kim Pintac, PHYSICAL THERAPY

• Pediatrics Physician in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.