Active NPI
Roseanne Marguerite Ricciardi, O.D.
- Optometrist
- Brooklyn, NY
National Provider Identifier
1881740082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV004325-1
- Practice address
- 8421 3Rd Ave
Brooklyn, NY 11209-4601 - Phone
- (718) 491-2300
- Fax
- (718) 491-2298
- NPI assigned
- Jan 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV004325-1 | NY | Primary |
Addresses
Primary practice location
8421 3Rd Ave
Brooklyn, NY 11209-4601
Mailing address
8421 3Rd Ave
Brooklyn, NY 11209-4601
Phone (718) 491-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV004325-1 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1881740082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8421 3RD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112094601",
"telephone_number": "718-491-2300",
"fax_number": "718-491-2298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8421 3RD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112094601",
"telephone_number": "718-491-2300",
"fax_number": "718-491-2298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICCIARDI",
"first_name": "ROSEANNE",
"middle_name": "MARGUERITE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV004325-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.