Organization Active NPI

Hector Retik MD PC

  • Psychiatry Physician
  • Yonkers, NY
National Provider Identifier
1255476008
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
100041 Issued in NY
Legal business name
HECTOR RETIK MD PC
Practice address
984 North Broadway
Suite #507
Yonkers, NY 10701-1308
Phone
(914) 968-6655
Fax
(914) 968-3366
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Hector Retik, MD
Title
President PC
Phone
(914) 968-6655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 100041 NY Primary

Addresses

Primary practice location

984 North Broadway
Suite #507
Yonkers, NY 10701-1308

Mailing address

984 North Broadway
Suite #507
Yonkers, NY 10701-1308
Phone (914) 968-6655

Other identifiers 1

IdentifierTypeStateIssuer
00171311MedicaidNY

National Provider Directory

National Provider Directory

Locations

984 N Broadway
Ste 507
Yonkers, NY 10701
Phone (914) 968-6655

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1255476008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 NORTH BROADWAY",
            "address_2": "SUITE #507",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011308",
            "telephone_number": "914-968-6655",
            "fax_number": "914-968-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 NORTH BROADWAY",
            "address_2": "SUITE #507",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011308",
            "telephone_number": "914-968-6655",
            "fax_number": "914-968-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HECTOR RETIK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "RETIK",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "PRESIDENT PC",
        "authorized_official_telephone_number": "914-968-6655",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "100041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00171311",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.