RICHARD HARRIS DYCKMAN (NPI# 1528019403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528019403 |
| Entity Type | Individual |
| Full Name | RICHARD HARRIS DYCKMAN |
| Credential | MD |
| Practice Address |
285 Sills Road Building # 14 East Patchogue NY 11772-4869 |
| Practice Telephone | 6314478300 |
| Practice Fax Number | 6314478872 |
| Mailing Telephone | 6314478300 |
| Mailing Fax Number | 6314478872 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2013-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
166642 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01147204 | 05 |
| Street Address |
285 SILLS ROAD BUILDING # 14 |
| City | EAST PATCHOGUE |
| State | NY |
| Zip Code | 11772-4869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649355785 | Joo H Sohn | Pediatrics | 285 Sills Road, Bldg 1 Suite A, East Patchogue, NY 11772-4875 | 2006-10-26 |
| 1558441584 | Musarrat Iqbal | Anesthesiology | 285 Sills Road, Building 15, Suite F, East Patchogue, NY 11772 | 2006-10-16 |
| 1477506418 | Victor Dale Nikirk | Occupational Therapist | 285 Sills Road, Bldg 18, East Patchogue, NY 11772-4808 | 2006-05-19 |
| 1124079173 | Shahriar Joseph Khalili | Internal Medicine | 285 Sills Road, Building #14, East Patchogue, NY 11772-4869 | 2006-05-15 |
| 1932165560 | James Nicholas Semertzides | Internal Medicine | 285 Sills Road, Building 14, East Patchogue, NY 11772-4869 | 2006-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366639908 | Waqas Khan | Internal Medicine | 285 Sills Rd Bldg 14e, East Patchogue, NY 11772-4851 | 2007-09-27 |
| 1861857435 | Franco Cardiology, PC | Internal Medicine | 100 Hospital Rd, Suite 200, East Patchogue, NY 11772-8809 | 2015-12-23 |
| 1225408321 | Winthrop Community Medical Affiliates PC | Internal Medicine | 285 Sills Rd, Building 14, East Patchogue, NY 11772-4869 | 2015-10-01 |
| 1902183627 | Suffolk Cardiac Care, Pllc | Internal Medicine | 285 Sills Rd, Building 10, Suite A, East Patchogue, NY 11772-4869 | 2011-11-09 |
| 1912298563 | Patchogue Cardiology Associates PC | Internal Medicine | 285 Sills Rd, Building 14, East Patchogue, NY 11772-4869 | 2011-04-29 |
| 1194858019 | Long Island Cardiology Associates, LLP | Internal Medicine | 285 Sills Rd, Building 14, East Patchogue, NY 11772-4869 | 2007-03-13 |
| 1124079173 | Shahriar Joseph Khalili | Internal Medicine | 285 Sills Road, Building #14, East Patchogue, NY 11772-4869 | 2006-05-15 |
| 1518923135 | Vito Anthony Mercurio | Internal Medicine | 285 Sills Rd, Building #14, East Patchogue, NY 11772-4869 | 2006-04-22 |
| 1932165560 | James Nicholas Semertzides | Internal Medicine | 285 Sills Road, Building 14, East Patchogue, NY 11772-4869 | 2006-04-22 |
| 1699775759 | Raja Gunturi Varma | Internal Medicine | 285 Sills Rd, Building 12 Suite C, East Patchogue, NY 11772-4869 | 2005-07-29 |
| Find all providers in EAST PATCHOGUE | ||||
| City | EAST PATCHOGUE |
| Zip Code | 11772 |
Please comment or provide details below to improve the information on RICHARD HARRIS DYCKMAN.
| 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.