Physician Compare National (NPI:1285680850)

HEALTHCARE PROVIDER: ANTHONY J RICKETTI M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1285680850
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0941344667
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100218000832
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RICKETTI
	Individual professional last name
Provider First Name	ANTHONY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	ALLERGY/IMMUNOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PULMONARY DISEASE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PULMONARY DISEASE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	MERCER ALLERGY AND PULMONARY ASSOCIATES LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9436376605
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1544 KUSER RD
	Group Practice or individual's line 1 address
Line 2 Street Address	C6
	Group Practice or individual's line 2 address
City	TRENTON
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	086193830
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6095811400
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310044
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CAPITAL HEALTH MEDICAL CENTER - HOPEWELL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310110
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y