JONATHAN B TICKER (NPI# 1891724290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891724290 |
| Entity Type | Individual |
| Full Name | JONATHAN B TICKER |
| Credential | MD |
| Practice Address |
660 Broadway Massapequa NY 11758-2312 |
| Practice Telephone | 5167980111 |
| Practice Fax Number | 5167980152 |
| Mailing Telephone | 5167980111 |
| Mailing Fax Number | 5167980152 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2009-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 180039 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | UNITED | 1445199 | 01 |
| NY | AETNA PPO | 5103229 | 01 |
| NY | RR MEDICARE | 2000021570 | 01 |
| NY | HIP | 30293P | 01 |
| NY | MDNY | AA47457 | 01 |
| NY | HEALTHNET | 1C0831 | 01 |
| NY | MULTIPLAN | 35497526 | 01 |
| NY | GHI HMO | 68711 | 01 |
| NY | ANTHEM | 010180039NY | 01 |
| NY | CIGNA | 1309558 | 01 |
| NY | HEALTHCARE PARTNERS | 180039S | 01 |
| NY | OXFORD | AS1634 | 01 |
| NY | FIRST HEALTH | 1044724 | 01 |
| NY | AETNA US HEALTHCARE | 531270 | 01 |
| NY | 0501005 | GHI PPO | 01 |
| NY | 1570938 | 05 | |
| NY | GHI CBP | 501030 | 01 |
| NY | BLUE CROSS BLUE SHIELD | 60G781 | 01 |
| Street Address |
660 BROADWAY |
| City | MASSAPEQUA |
| State | NY |
| Zip Code | 11758-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316447683 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 660 Broadway, Massapequa, NY 11758-2391 | 2018-02-13 |
| 1649407495 | Edward Brucia | Physician Assistant | 660 Broadway, Massapequa, NY 11758-2391 | 2009-06-19 |
| 1285823567 | Geoffrey B Pollock | Physician Assistant | 660 Broadway, Massapequa, NY 11758-2391 | 2007-10-23 |
| 1437236353 | Island Orthopaedics & Sports Medicine PC | Orthopaedic Surgery | 660 Broadway, Massapequa, NY 11758-2312 | 2006-11-01 |
| 1891897591 | Todd M Bornfriend | Specialist | 660 Broadway, Massapequa, NY 11758-2391 | 2006-09-02 |
| 1588776595 | Brian Musso | Physical Therapist | 660 Broadway, Massapequa, NY 11758 | 2006-08-31 |
| 1245346378 | James J Egan | Physical Therapist | 660 Broadway, Massapequa, NY 11758 | 2006-08-22 |
| 1144336272 | Sandra J Ketcham | Physical Therapist | 660 Broadway, Massapequa, NY 11758 | 2006-08-22 |
| 1316053440 | Michael P Carroll | Orthopaedic Surgery | 660 Broadway, Massapequa, NY 11758 | 2006-08-22 |
| 1225144355 | Philip John Bruno | Physical Therapist | 660 Broadway, Massapequa, NY 11758 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535339 | Jamie Leigh Disilvio | Licensed Practical Nurse | 24 Amity Pl., Massapequa, NY 11758 | 2019-12-16 |
| 1548787955 | June H Friedman | Social Worker | 78 North Pine Street, North Massapequa, NY 11758 | 2017-08-25 |
| 1376078568 | Caitlin Bree Kennedy | Acupuncturist | 507 Hicksville Road, Massapequa, NY 11758 | 2017-04-25 |
| 1932645561 | Maria Amato | Specialist | 277 Division Ave, Massapequa, NY 11758 | 2017-01-06 |
| 1164877270 | Marylou Lawson | Early Intervention Provider Agency | 87 N Pine Street, N Massapequa, NY 11758 | 2016-04-26 |
| 1417314196 | Tender Heart Senior Care Corp | In Home Supportive Care | 24 Peconic Dr, Massapequa, NY 11758 | 2016-01-26 |
| 1316328420 | Theresa Mackey | Behavioral Analyst | 19 Oxford Avenue, N. Massapequa, NY 11758 | 2015-06-15 |
| 1932596590 | Bianca Ferrantelli | Specialist | 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 | 2015-04-22 |
| 1245625797 | Medwell Medical PC | Pain Medicine | 1065a North Broadway, Massapequa, NY 11758 | 2015-04-01 |
| 1053703926 | Joseph Sgaglione | Physical Therapist | 503 Wright Drive, Massapequa, NY 11758 | 2015-03-02 |
| Find all providers in zip 11758 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770117483 | The Central Orthopedic Group L L P | Orthopaedic Surgery | 5840 Merrick Rd, Massapequa, NY 11758-6225 | 2020-03-03 |
| 1598835332 | Nassau Suffolk Orthopedic Associates PC | Orthopaedic Surgery | 4180 Sunrise Highway, Massapequa, NY 11758 | 2006-11-09 |
| 1255307443 | Charles James Ruotolo | Orthopaedic Surgery | 5500 Merrick Rd, Massapequa, NY 11758-6231 | 2006-02-27 |
| 1144663667 | Rhyne Champ Dengenis | Orthopaedic Surgery | 5500 Merrick Rd, Massapequa, NY 11758 | 2013-04-15 |
| 1790989440 | Elizabeth Mary Morrison | Orthopaedic Surgery | 5500 Merrick Rd, Massapequa, NY 11758-6231 | 2007-06-14 |
| 1437236353 | Island Orthopaedics & Sports Medicine PC | Orthopaedic Surgery | 660 Broadway, Massapequa, NY 11758-2312 | 2006-11-01 |
| 1174621015 | Total Orthopaedics and Sports Medicine, LLP | Orthopaedic Surgery | 5500 Merrick Rd, Massapequa, NY 11758-6216 | 2006-09-21 |
| 1316053440 | Michael P Carroll | Orthopaedic Surgery | 660 Broadway, Massapequa, NY 11758 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992330807 | Ny Orthopedics PC | Orthopaedic Surgery | 110 Duane Street, New York, NY 10007 | 2020-03-11 |
| 1669006375 | The Central Orthopedic Group L L P | Orthopaedic Surgery | 77 N Centre Ave Ste 210, Rockville Centre, NY 11570-3923 | 2020-03-03 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1649801440 | Richard Allan Stram | Orthopaedic Surgery | 508 Murray Hill Rd, Vestal, NY 13850-3824 | 2020-01-30 |
| 1316594237 | Motaz Abdulrahman Alaqeel | Orthopaedic Surgery | 504 E 63rd St Apt 6s, New York, NY 10065-7912 | 2019-08-26 |
| 1568017317 | Trustees of Columbia University In The City of New York | Orthopaedic Surgery | 693 White Plains Rd, Eastchester, NY 10709 | 2019-08-08 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
| 1528627866 | New York Orthopedic Hip & Knee Associates LLP | Orthopaedic Surgery | 25 Apawamis Ave, Rye, NY 10580-3528 | 2019-06-11 |
| 1396207528 | Ony Care of Ny II, LLC | Orthopaedic Surgery | 1131 Route 55 Ste 1b, Lagrangeville, NY 12540-5054 | 2019-04-05 |
| 1124587910 | Justin Hellwinkel | Orthopaedic Surgery | 622 W 168th St Ph 11-1138, New York, NY 10032-3720 | 2019-03-19 |
| Find all providers with the same taxonomy | ||||
| City | MASSAPEQUA |
| Zip Code | 11758 |
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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.