TATIANA RICKETTS (NPI# 1972843944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972843944 |
| Entity Type | Individual |
| Full Name | TATIANA RICKETTS |
| Credential | MD |
| Practice Address |
350 South Broadway Hicksville NY 11801-5006 |
| Mailing Address |
55 Water St 2nd Floor New York NY 10041-0004 |
| Practice Telephone | 5169380100 |
| Practice Fax Number | 5169380120 |
| Mailing Telephone | 6466802888 |
| Mailing Fax Number | 5165425556 |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 267740 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1991 Marcus Ave, 2nd Floor, New Hyde Park, NY 110422057 | 5163541600 | 5169414677 |
| 760 Broadway, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 | 7189638000 | 7186303122 |
| 96-10 Metropolitan Ave, Forest Hills, NY 113756625 | 7184590400 | 7186706479 |
| Street Address |
350 SOUTH BROADWAY |
| City | HICKSVILLE |
| State | NY |
| Zip Code | 11801-5006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053372169 | Haleh G Mohseni | Family Medicine | 350 South Broadway, Hicksville, NY 11801 | 2006-03-29 |
| 1609387471 | Nancy Marie Reyes | Social Worker | 350 South Broadway, Hicksville, NY 11801 | 2017-10-19 |
| 1427583780 | Rachel Yam | Dietitian, Registered | 350 South Broadway, Hicksville, NY 11801-5006 | 2017-04-25 |
| 1356716161 | Nicole Lynne George | Physician Assistant | 350 South Broadway, Hicksville, NY 11801-5006 | 2015-12-04 |
| 1225412208 | Jenna M Mckenzie | Registered Nurse | 350 South Broadway, Hicksville, NY 11801 | 2015-07-19 |
| 1649610874 | Raffat Batool | Internal Medicine | 350 South Broadway, Hicksville, NY 11801-5006 | 2013-07-02 |
| 1588911325 | Ravjeet Singh | Physician Assistant | 350 South Broadway, Hicksville, NY 11801 | 2012-08-11 |
| 1538428560 | Marufa Zaman | Internal Medicine | 350 South Broadway, Hicksville, NY 11801 | 2012-05-11 |
| 1871616870 | Uzma Aslam | Family Medicine | 350 South Broadway, Hicksville, NY 11801 | 2007-04-06 |
| 1548359110 | Pervez A Ahmed | Internal Medicine | 350 South Broadway, Hicksville, NY 11801-5006 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588296222 | Princy John | Registered Nurse | 19 Utica Ave, Hicksville, NY 11801 | 2020-02-11 |
| 1558920314 | Alvin Varkey | Registered Nurse | 1 Hastings Lane, Hicksville, NY 11801 | 2019-06-06 |
| 1033680152 | Chaolin Fu | Physical Therapist | 4 Savoy Place, Hicksville, NY 11801 | 2018-12-16 |
| 1902373954 | Linda Alagna | Massage Therapist | 21 Michigan Dr, Hicksville, NY 11801 | 2018-10-29 |
| 1336621523 | Christina Doyle | Early Intervention Provider Agency | 22 April Lane, Hicksville, NY 11801 | 2018-09-04 |
| 1376023325 | Jessica Lyons | Specialist | 128 5th Ave, Hicksville, NY 11801 | 2018-08-20 |
| 1881180404 | Laura Veronica Cevallos | Early Intervention Provider Agency | 67 Lee Ave, Hicksville, NY 11801 | 2018-07-06 |
| 1942719810 | David Collins | Behavioral Analyst | 431 Division Avenue, Hicksville, NY 11801 | 2017-09-23 |
| 1285159756 | James Daconti | Social Worker | 100 Duffy Ave Ste 510, Hicksville, NY 11801 | 2017-08-07 |
| 1306376918 | Emily Miracolo | Specialist | 9 Waters Ave, Hicksville, NY 11801 | 2017-06-15 |
| Find all providers in zip 11801 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629008180 | Anu Kothari | Obstetrics & Gynecology | 111 W Old Country Rd Ste 102, Hicksville, NY 11801-4036 | 2006-07-03 |
| 1902862691 | Bernard Polatsch | Obstetrics & Gynecology | 400 South Oyster Bay Road, Suite 204, Hicksville, NY 11801 | 2006-04-22 |
| 1437455268 | Nadia Qadri | Obstetrics & Gynecology | 350 S Broadway, Hicksville, NY 11801-5006 | 2011-01-26 |
| 1053615914 | Valerie Rabinovich | Obstetrics & Gynecology | 350 S Broadway, Hicksville, NY 11801-5006 | 2011-01-06 |
| 1649585431 | Schlessinger-levi-polatsch-tydings, Md PC | Obstetrics & Gynecology | 400 S Oyster Bay Rd, Suite 204, Hicksville, NY 11801-3500 | 2010-08-17 |
| 1669667093 | David Lee Eysler | Obstetrics & Gynecology | 400 S Oyster Bay Rd, Suite 106, Hicksville, NY 11801-3500 | 2007-09-10 |
| 1740366541 | Myles S Kobren | Obstetrics & Gynecology | 400 S Oyster Bay Rd, Suite 301, Hicksville, NY 11801-3500 | 2006-10-27 |
| 1487747440 | Afshan Ashfaq | Obstetrics & Gynecology | 120 Bethpage Rd, Ste 302, Hicksville, NY 11801-1515 | 2006-10-02 |
| 1275633430 | David L. Eysler Md PC | Obstetrics & Gynecology | 400 S Oyster Bay Rd, Suite 106, Hicksville, NY 11801-3500 | 2006-09-25 |
| 1821065905 | Lawrence Henry Tydings | Obstetrics & Gynecology | 400 S Oyster Bay Rd, Suite 204, Hicksville, NY 11801-3500 | 2006-03-07 |
| Find all providers in HICKSVILLE | ||||
| City | HICKSVILLE |
| Zip Code | 11801 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.