Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John J Ricciardelli, MD

Individual provider Internal Medicine Physician · NPI 1497729099

Dr. John J Ricciardelli, MD is an Internal Medicine Physician in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

112 Terryville Rd
Port Jefferson Station, NY 11776-1329
Phone: (631) 473-3900
Fax: (631) 474-4475
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 1601461 (NY)

Record details

NPI number1497729099
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 13, 2006
Last updated in NPPESJuly 13, 2026

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