DR. JEANINE MARIE RICCA D.O. NPI 1285677641

NPI Information

NPI: 1285677641
Provider Name: DR. JEANINE MARIE RICCA, D.O.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 1980 CROMPOND RD
CORTLANDT MANOR, NY
ZIP 10567
Phone: (914) 788-4635

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NPI Details

DR. Jeanine Marie Ricca, D.O. is an obstetrics gynecology in Cortlandt Manor, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Jeanine Marie Ricca, D.O. NPI is 1285677641. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1980 CROMPOND RD
CORTLANDT MANOR, NY
ZIP 10567-144
Phone: (914) 788-4635

The NPI 1285677641 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 5/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology	21493	NEW HAMPSHIRE	No
2	207V00000X	Obstetrics & Gynecology	DO2022-0082	NEW MEXICO	No
3	207V00000X	Obstetrics & Gynecology	C0705	KENTUCKY	No
4	207V00000X	Obstetrics & Gynecology	DOS-2252	HAWAII	No
5	207V00000X	Obstetrics & Gynecology	DO3224	MAINE	No
6	207V00000X	Obstetrics & Gynecology	LT20095	MAINE	No
7	207V00000X	Obstetrics & Gynecology	MED-PHYS-COM-LIC-992	MONTANA	No
8	207V00000X	Obstetrics & Gynecology	276046-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02960350	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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