Dr. Jerome A. Ricciardi
Foot & Ankle Surgery
507 Rahway Ave
Elizabeth
, New Jersey 07202-2308
Dr. Jerome A. Ricciardi
Foot & Ankle Surgery
507 Rahway Ave
Elizabeth
, New Jersey 07202-2308
(908) 352-0034
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Jerome A. Ricciardi
- 507 Rahway Ave
- Elizabeth, NJ
- Zip : 07202-2308
- Fax : (908) 352-0034
- Phone : (908) 352-0034
Second Address
- Dr. Jerome A. Ricciardi
- 507 Rahway Ave
- Elizabeth, NJ
- Zip : 07202-2308
- Fax : (908) 469-6303
- Phone : (908) 352-0034
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 25MD00097900 | NJ |
National Provider Identifier
| NPI | 1093730392 |
|---|---|
| Provider Name | Dr. Jerome A. Ricciardi |
| First Address | Elizabeth, NJ 07202-2308 |
| Second Address | Elizabeth, NJ 07202-2308 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2006 |
| Last Update Date | 21/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1781804 | (05) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.