Dr Richard W Dicicco, DC is a
Chiropractor based in Cedar Brook, New Jersey. Dr Richard W Dicicco is licensed to practice in New Jersey (license number 38MC00418400) and his current practice location is
1 Myers Avenue, Cedar Brook, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(609) 561-1150.
NPI number for Dr Richard W Dicicco is 1073668265 and his current mailing address is P.o. Box 308, 1 Myers Ave, Cedar Brook, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073668265.
Healthcare Provider's Profile
| Full Name | Dr Richard W Dicicco |
|---|
| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 1 Myers Avenue, Cedar Brook, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073668265
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Richard W Dicicco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073668265 | NPI | - | NPPES |
| 0673372000 | Other | NJ | AMERIHEALTH |
| 2230846 | Other | NJ | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 38MC00418400 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Richard W Dicicco is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Richard W Dicicco, DC
P.o. Box 308, 1 Myers Ave,
Cedar Brook, NJ 08018
Ph: () - | Dr Richard W Dicicco, DC
1 Myers Avenue,
Cedar Brook, NJ 08018
Ph: (609) 561-1150 |
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