DR. ALICA RUCEKOVA MD NPI 1427200641

NPI Information

  • NPI: 1427200641
  • Provider Name: DR. ALICA RUCEKOVA, MD
  • Classification: Preventive Medicine - 2083P0500X
  • Specialization: Preventive Medicine/Occupational Environmental Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1780 HANSHAW RD
    ITHACA, NY
    ZIP 14850
  • Phone: (607) 257-5858

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NPI Details

DR. Alica Rucekova, MD is a preventive medicine/occupational environmental medicine preventive medicine in Ithaca, NY. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. DR. Alica Rucekova, MD NPI is 1427200641. 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:

1780 HANSHAW RD
ITHACA, NY
ZIP 14850-105
Phone: (607) 257-5858
Fax: (607) 257-1718

The NPI 1427200641 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 10/21/2008 and was last updated on 12/14/2021.

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 Taxonomy Specialization License Number License State Primary
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineMD435332PENNSYLVANIAYes

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
103053270MEDICAIDNEW YORK
21022323480001MEDICAIDPENNSYLVANIA

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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