Individual provider · Type 1 NPI

John J. Ricciardelli, MD

Internal Medicine Physician · Port Jefferson Station, NY

NPI number 1497729099 Active

Practice location

112 Terryville Rd
Port Jefferson Station, NY 11776-1329

Fax (631) 474-4475

Mailing address

1500 Route 112, Bldg 4
Port Jefferson Station, NY 11776-8055

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000X1601461 (NY)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1497729099

John J. Ricciardelli, MD's National Provider Identifier is 1497729099, issued on Feb 13, 2006. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jul 13, 2026.