RENA MARIE RICCARDI


Address: 255 Lafayette Ave, Suffern, NY 10901-4869
Phone: 9147721005

RENA MARIE RICCARDI (NPI# 1962988543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962988543
Entity Type Individual
Full Name RENA MARIE RICCARDI
Credential MS, RD, CDE
Practice Address 255 Lafayette Ave
Suffern
NY 10901-4869
Mailing Address 4 Juniper Dr
Lake Lincolndale
NY 10541-5300
Practice Telephone 9147721005
Practice Fax Number 8455473357
Mailing Telephone 9147721005
Mailing Fax Number 9145566356
Enumeration Date 2018-07-17
Last Update Date 2018-07-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133NN1002X Nutritionist
Specialization: Nutrition, Education
724462 Dietary & Nutritional Service Providers
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
724462 Dietary & Nutritional Service Providers
N 2080P0205X Pediatrics
Specialization: Pediatric Endocrinology
217003387 NY Allopathic & Osteopathic Physicians
N 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
Nursing & Custodial Care Facilities
N 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
N 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
N 174H00000X Health Educator Other Service Providers
N 2080B0002X Pediatrics
Specialization: Obesity Medicine
724462 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NCBDE 21700387 01
CDR 724462 01

Office Location

Street Address 255 LAFAYETTE AVE
City SUFFERN
State NY
Zip Code 10901-4869

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184616963 Martin S Katzenstein Pediatrics 255 Lafayette Ave, Suffern, NY 10901-4812 2005-08-18
1184232894 Jennifer Peterson Nurse Practitioner 255 Lafayette Ave, Suffern, NY 10901-4812 2020-07-20
1396360186 Tina George Nurse Practitioner 255 Lafayette Ave, Suffern, NY 10901-4812 2020-06-08
1053943902 Michelle Lindsay Mathew Nurse Practitioner 255 Lafayette Ave, Suffern, NY 10901-4812 2020-02-09
1174155162 Rockland Physician Medicine Services, P.C. Physician Assistant 255 Lafayette Ave, Suffern, NY 10901-4812 2020-02-07
1659847416 Teresa Ann Sullivan Nurse Practitioner 255 Lafayette Ave, Suffern, NY 10901-4812 2018-10-19
1134694334 Damar Titsy-ann Mcintyre Nurse Practitioner 255 Lafayette Ave, Suffern, NY 10901-4812 2018-10-04
1730638453 Patricia Margaret Kivlehan Nurse Practitioner 255 Lafayette Ave, Suffern, NY 10901-4812 2016-09-22
1609251370 Melissa Theodore Physical Therapist 255 Lafayette Ave, Suffern, NY 10901-4812 2015-07-23
1013392927 Holly Durniak Speech-Language Pathologist 255 Lafayette Ave, Suffern, NY 10901-4812 2015-07-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740895309 Constance Marie Princiotto Registered Nurse J&d Ultracare, 15 Suffern Pl, Suffern, NY 10901 2020-09-10
1376101790 Tenika Filomena Walters Licensed Practical Nurse 15 Suffen Place, Suffen, NY 10901 2019-05-31
1922563261 Matthew Abel Dietitian, Registered 156 Ny-59, A2, Suffern, NY 10901 2019-01-31
1609349422 Yona Newmark Behavioral Analyst 84 Route 59 Suite 102, Suffern, NY 10901 2019-01-03
1235606005 William M Mazariego Specialist/Technologist 5 Tallman Pl, Suffern, NY 10901 2018-10-30
1396237228 Stephanie N Freer Registered Nurse 15 Suffern Pl., Suffern, NY 10901 2018-06-06
1588102669 Lisa Arcuri Registered Nurse 15 Suffern Place Ste A, Suffern, NY 10901 2017-02-08
1801342787 Maria Castro-cancel Social Worker 58 Campbell Avenue, Airmont, NY 10901 2016-08-30
1811341530 Simone Raven Pringle Licensed Practical Nurse 15 Suffern Place, Suite A, Suffern, NY 10901 2016-04-19
1871998666 Simi Samuel Specialist 13 Hillside Ct, Suffern, NY 10901 2014-10-23
Find all providers in zip 10901

Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891308276 Jennifer Nicole Arnette Dietitian, Registered 1207 Delaware Ave Ste 114, Buffalo, NY 14209-1458 2020-08-26
1487200358 Jackie Carlson, Rd, Ldn, Cde Diabetes Consultant, LLC Dietitian, Registered 4867 College St, Ashville, NY 14710-9603 2019-08-15
1093219586 Nutrition Link Services, LLC Dietitian, Registered 50 Jeanne Dr, Newburgh, NY 12550-1701 2018-03-20
1275037749 Jo Ann Brown Dietitian, Registered 2233 Caton Ave Apt 6a, Brooklyn, NY 11226-2588 2018-03-20
1881101954 Western New York Integrated Care Collaborative, Inc. Dietitian, Registered 742 Delaware Avenue, Buffalo, NY 14209 2018-01-10
1770994741 Juliana Martinez Dietitian, Registered 430 West 34th St, Apt. 3k, New York, NY 10001-2310 2014-05-13
1912338120 Kelly Elaine Gumpel Dietitian, Registered 60 Paulding Ave, Tarrytown, NY 10591-5713 2013-12-13
1467898528 Ilona Ginevic Dietitian, Registered One Gustave L. Levy Place, Box 1497, New York, NY 10029 2013-05-16
1114286887 Ilene Frischer Dietitian, Registered 560 Northern Blvd Suite207, Great Neck, NY 11021 2012-05-15
1033492582 His Rhema Nutrition Services, LLC Dietitian, Registered 9050 Parsons Blvd Ste 304, Jamaica, NY 11432-6052 2011-09-21
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Competitor

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City SUFFERN
Zip Code 10901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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