T'Karima Ticitl, PHD, CM, LM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

F001975 Issued in NY

Practice address

72 Gaskill Ave
Edison, NJ 08817-3423

Phone

(917) 284-7791

NPI assigned

Jan 29, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1063750834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CHESHIRE ST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461214",
            "telephone_number": "917-284-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 GASKILL AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173423",
            "telephone_number": "917-284-7791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Livingston Ave",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107051914",
            "country_code": "US",
            "telephone_number": "917-284-7791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6788 Dartmouth St",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113754148",
            "country_code": "US",
            "telephone_number": "203-360-8039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TICITL",
        "first_name": "T'KARIMA",
        "name_prefix": "Dr.",
        "credential": "PHD, CM, LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Thompson, MD
• Serena Rose Thompson, PHD, LCSW
• Lisa Thorpe, LPC, LCADC, CCS
• Gideon Thuo
• Tiberiu Kovacs, M.D., P.C.
• Rachael Tikum
• Time Line Diagnostic LLC
• Marsha Tipelin, LCSW
• Vijaya Tirunahari, M.D.
• Hemavarna Tiruvury, M.D.

• Advanced Practice Midwife in Edison, NJ
• Providers in Edison, NJ by specialty
• Advanced Practice Midwife in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.