Sorayya Kassamali Rickicki, LM, CM, IBCLC

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

F001941 Issued in NY

Practice address

434 E 10TH St Apt 4
New York, NY 10009-4256

Phone

(917) 783-9561

Fax

(888) 690-3168

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1093241986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 E 10TH ST APT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100094256",
            "telephone_number": "917-783-9561",
            "fax_number": "888-810-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 E 10TH ST APT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100094256",
            "telephone_number": "917-783-9561",
            "fax_number": "888-690-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAMALI RICKICKI",
        "first_name": "SORAYYA",
        "credential": "LM, CM, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NY",
            "license": "L-109824",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan S Kassalow, OD
• Fairyal Kassam, M.D.
• Nisha Kassam
• Serena Kassam
• Zain Kassam
• Lee D. Kassan, M.A.
• Dimitrios Kassapidis, DO
• Elias Kassapidis, MD
• Vickie Kassapidis, DO
• Joan Kassel

• Advanced Practice Midwife in New York, NY
• Providers in New York, NY by specialty
• Advanced Practice Midwife in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.