DR. MARC FRANCIS RICCARDI DPT
NPI 1023071982
Physical Therapist - Orthopedic in Basking Ridge, NJ
NPI Status: Active since April 10, 2006
Contact Information
150 N FINLEY AVE
BASKING RIDGE, NJ
ZIP 07920
Phone: (908) 340-4772
Fax: (908) 340-4774
- Individual
- Male
- Years of Experience 25
- Physical Therapist
- Orthopedic
- May Accept Medicare Approved Payment
About MARC RICCARDI
This page provides the complete NPI Profile along with additional information for Marc Riccardi, a provider established in Basking Ridge, New Jersey with a medical specialization in Physical Therapist, focusing in orthopedic and more than 25 years of experience. He graduated from Rutgers New Jersey Medical School in 2001. The healthcare provider is registered in the NPI registry with number 1023071982 assigned on April 2006. The practitioner's primary taxonomy code is 2251X0800X with license number QA9717 (NJ). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1023071982
- Provider Name
- DR. MARC FRANCIS RICCARDI DPT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 150 N FINLEY AVE BASKING RIDGE, NJ 07920
- Location Phone
- (908) 340-4772
- Location Fax
- (908) 340-4774
- Mailing Address
- 150 N FINLEY AVE BASKING RIDGE, NJ 07920
- Mailing Phone
- (908) 340-4772
- Mailing Fax
- (908) 340-4774
- Medical School Name
- RUTGERS NEW JERSEY MEDICAL SCHOOL
- Graduation Year
- 2001
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-10-2006
- Last Update Date
- 08-15-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Orthopedic
- Taxonomy Code
- 2251X0800X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- QA9717
- License State
- NJ
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 056681 | MEDICARE ID-TYPE UNSPECIFIED (04) | NJ | MEDICARE ID NUMBER |
Medicare Participation & PECOS Enrollment Status
Marc Riccardi is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 7214945849
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20060323000488
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Evaluation for physical therapy, typically 20 minutes
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
Therapy procedure using manual technique, each 15 minutes
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
This service was performed 38 times for 37 patientsThis therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
This service was performed 5,636 times for 59 patientsThis therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
This service was performed 661 times for 22 patientsReviews for DR. MARC FRANCIS RICCARDI DPT
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1023071982, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BASKING RIDGE, NJ 07920
BASKING RIDGE, NJ 07920
BASKING RIDGE, NJ 07920
BASKING RIDGE, NJ 07920
BASKING RIDGE, NJ 07920
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023071982, enumerated as an "individual" on April 10, 2006.
The provider is located at 150 N FINLEY AVE BASKING RIDGE, NJ 07920 and the phone number is (908) 340-4772.
Physical Therapist with taxonomy code 2251X0800X and a focus in Orthopedic.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
