JUDITH A. HENDRICKS, M.D. P.C. (NPI# 1376700435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376700435 |
| Entity Type | Organization |
| Organization Name | JUDITH A. HENDRICKS, M.D. P.C. |
| Practice Address |
1870 Richmond Rd Staten Island NY 10306-2553 |
| Practice Telephone | 7186675400 |
| Practice Fax Number | 7189806012 |
| Mailing Telephone | 7186675400 |
| Mailing Fax Number | 7189806012 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | JUDITH A. HENDRICKS (PRESIDENT) |
| Authorized Official Telephone | 7186675400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
127469 | NY | Ambulatory Health Care Facilities |
| Street Address |
1870 RICHMOND RD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10306-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497783054 | Alex Racco | Internal Medicine | 1870 Richmond Rd, Staten Island, NY 10306-2553 | 2006-06-30 |
| 1194961078 | Yevgeniy A Korshunov | Orthopaedic Surgery | 1870 Richmond Rd, Staten Island, NY 10306-2553 | 2008-12-26 |
| 1538314703 | Nicole Arcentales | Internal Medicine | 1870 Richmond Rd, Staten Island, NY 10306-2553 | 2008-12-01 |
| 1255477840 | Brooklyn Nuclear Spect Imaging, PC | Internal Medicine | 1870 Richmond Rd, Staten Island, NY 10306-2553 | 2007-01-30 |
| 1730237959 | John F Pietruszka Jr. | Dentist | 1870 Richmond Rd, Staten Island, NY 10306-2553 | 2007-01-05 |
| 1124048707 | Alexander Beylinson | Internal Medicine | 1870 Richmond Rd, Staten Island, NY 10306-2553 | 2006-07-19 |
| 1548286081 | Moretti & Racco Medical Associates PC | Physical Medicine & Rehabilitation | 1870 Richmond Rd, Staten Island, NY 10306-2553 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737372 | Nancy Burns | Counselor | 345 Guyon Ave # 14, Staten Island, NY 10306 | 2020-07-14 |
| 1710537642 | Happy Island Senior Center LLC | Clinic/Center | 555 Greeley Ave, Staten Island, NY 10306 | 2019-09-12 |
| 1215580055 | Keann Pender | Counselor | 345 Guyon Ave Rm 14, Staten Island, NY 10306 | 2019-07-22 |
| 1346751435 | Amanda Nicole Lewis | Speech-Language Pathologist | 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 | 2017-10-17 |
| 1649793142 | Olympia Services Inc | Radiology | 1913 Olympia Blvd., Staten Island, NY 10306 | 2017-07-18 |
| 1265961601 | A & S Educational Technology Inc. | Early Intervention Provider Agency | 99 Sydney Pl, Staten Island, NY 10306 | 2017-06-08 |
| 1124489638 | Prospect Kids, LLC | Early Intervention Provider Agency | 21 Kayla Court, Staten Island, NY 10306 | 2016-03-10 |
| 1124498407 | Tatyana Kateva | Registered Nurse | 1975 Hylan Blvd Suite 1, Staten Island, NY 10306 | 2015-09-30 |
| 1336536275 | Natallia Verbitsky | Occupational Therapist | 165 Twombly Ave, Staten Island, NY 10306 | 2015-04-17 |
| 1922491745 | Evan Ross Cohen | Dentist | 1975 Hylan Blvd., Unit #2, Hylan Dental Arts, Staten Island, NY 10306 | 2015-03-18 |
| Find all providers in zip 10306 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942682992 | Evelyn C Alogu | Clinic/Center | 10 Rockwell Ave, Apt 3b, Staten Island, NY 10305-1609 | 2015-06-26 |
| 1184855116 | Ruby Family Healthcare | Clinic/Center | 131 Rome Ave, Staten Island, NY 10304-3149 | 2009-08-07 |
| 1508308743 | Tarkhanov Medical P.C. | Clinic/Center | 15 Rome Ave, Staten Island, NY 10304-4317 | 2016-11-04 |
| 1982077079 | Usha Thomas Physician PC | Clinic/Center | 175 Guyon Ave, Staten Island, NY 10306-3947 | 2015-11-11 |
| 1801271911 | Beacon Christian Community Health Center | Clinic/Center | 2079 Forest Ave, Staten Island, NY 10303-1865 | 2015-07-30 |
| 1659637247 | Znahar Medical PC | Clinic/Center | 682 Forest Ave, Staten Island, NY 10310-2507 | 2012-04-08 |
| 1760777486 | Gerald Dimaso Mdpc | Clinic/Center | 68 Seguine Ave, Staten Island, NY 10309-3723 | 2011-06-10 |
| 1104142082 | Staten Island Medical Practice, P.C. | Clinic/Center | 5405 Hylan Blvd, Staten Island, NY 10312-5241 | 2010-04-16 |
| 1356675961 | Saint Vincent Catholic Medical Center | Clinic/Center | 206 Drum Rd, Staten Island, NY 10305-5079 | 2009-09-29 |
| 1194975524 | Primary Care Np In Family Health and Adult Health of New York Pllc | Clinic/Center | 130 Rose Ave, Staten Island, NY 10306-2241 | 2008-09-22 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10306 |
Please comment or provide details below to improve the information on JUDITH A. HENDRICKS, M.D. P.C..
| 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.