MR. RICKEY LOGAN JR. (NPI# 1417309824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417309824 |
| Entity Type | Individual |
| Full Name | MR. RICKEY LOGAN JR. |
| Credential | PNP |
| Practice Address |
550 1st Ave New York NY 10016-6402 |
| Practice Telephone | 5137068109 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
382652 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
550 1ST AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10016-6402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290418 | John Anthony Bonavita | Radiology | 550 1st Ave, Nyu Langone Medical Center, Department of Radiology, New York, NY 10016-6402 | 2005-07-26 |
| 1013518349 | Anna Karlene Steve | Surgery | 550 1st Ave, New York, NY 10016-6402 | 2020-11-03 |
| 1659971257 | Claire Elise Domogala | Physician Assistant | 550 1st Ave, New York, NY 10016-6402 | 2020-11-01 |
| 1568061026 | Erica L Bohdan | Dietitian, Registered | 550 1st Ave, New York, NY 10016-6402 | 2020-10-25 |
| 1194324145 | Taylor Kain | Internal Medicine | 550 1st Ave, New York, NY 10016-6402 | 2020-10-21 |
| 1356958375 | Rivka A. Gross | Nurse Practitioner | 550 1st Ave, New York, NY 10016-6402 | 2020-09-24 |
| 1033724935 | Katrin Relman | Nurse Practitioner | 550 1st Ave, New York, NY 10016-6402 | 2020-09-09 |
| 1184239022 | Christen Marie Cudina | Nurse Practitioner | 550 1st Ave, New York, NY 10016-6402 | 2020-09-08 |
| 1649882390 | Raissa Aoun | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2020-08-22 |
| 1508478793 | Lindsay Anne Tetreault | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2020-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1972118206 | Trisha Aloquina | Nurse Practitioner | 106 East 32nd St, 102, New York, NY 10016 | 2020-09-14 |
| 1912519950 | Lionel Thompson Jr. | Social Worker | Bellevue Hospital Center Child & Adolescent Psychiatry, 462 First Avenue Administration Bldg. 2nd Fl., New York, NY 10016 | 2020-08-20 |
| 1134755622 | Samantha Caldona | Behavior Technician | 205 East 35 Street, New York, NY 10016 | 2020-03-17 |
| 1104477504 | Jaclyn A. Silverman | Nurse Practitioner | 113 East 39th Street, New York, NY 10016 | 2019-09-26 |
| 1093376147 | Eskue Therapy, LLC | Massage Therapist | 130 East 40 Street, Ste. 1001, New York, NY 10016 | 2019-06-27 |
| 1952962227 | Richard Callado | Nurse Practitioner | 245 5th Ave Ste 336, New York, NY 10016 | 2019-06-26 |
| 1265096754 | Sharon Brenda Madanes | Student in an Organized Health Care Education/Training Program | Nyu Langone, 550 First Ave., New York, NY 10016 | 2019-04-30 |
| 1124589569 | Krupali Chokshi | Student in an Organized Health Care Education/Training Program | Nyu Langone Hospital, 550 First Ave., New York, NY 10016 | 2019-03-28 |
| 1982160909 | Sherell Miriam Harding | Behavioral Analyst | 204 35th St, New York, NY 10016 | 2019-02-14 |
| Find all providers in zip 10016 | ||||
| Taxonomy Code | 363LP0222X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083261879 | Catherine Swagger | Nurse Practitioner | 148 W 68th St Apt 3b, New York, NY 10023-5805 | 2019-08-26 |
| 1033650502 | Andrea Rockey Behrman | Nurse Practitioner | 225 Lafayette St Apt 5d, New York, NY 10012-4012 | 2017-03-16 |
| 1730621293 | Natalie R. Monti | Nurse Practitioner | 3959 Broadway # 517, New York, NY 10032-1559 | 2016-11-14 |
| 1255721239 | Nathan Y Chang | Nurse Practitioner | 601 W 164th St Apt 22, New York, NY 10032-4804 | 2015-01-29 |
| 1225502354 | Alyssa Leokadia Than | Nurse Practitioner | 1275 York Ave, New York, NY 10065-6007 | 2019-01-11 |
| 1407323504 | Amy Aaronson | Nurse Practitioner | 1275 York Ave, New York, NY 10065-6007 | 2018-10-26 |
| 1639660400 | Rebecca Michelle Rogoff | Nurse Practitioner | 3959 Broadway, New York, NY 10032-1559 | 2018-05-28 |
| 1366959199 | Hyein Kathy Lee | Nurse Practitioner | 3959 Broadway, 11c Picu, New York, NY 10032 | 2018-01-02 |
| 1518415231 | Cassie Owens Martinez | Nurse Practitioner | 1275 York Ave, New York, NY 10065-6007 | 2016-09-12 |
| 1598137671 | Amelia Cataldo | Nurse Practitioner | 1275 York Ave, New York, NY 10065-6007 | 2015-10-28 |
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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.