Natasha J Ricketts

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

122 Curie Ave Apt 1
Clifton, NJ 07011-1656

Phone

(973) 618-6603

NPI assigned

Mar 17, 2022

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City Wellness Essentials

  • Clinical Medical Laboratory
  • Clifton, NJ
  • NPI 1538817507
  NPD Authorized official

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1285382259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CURIE AVE APT 1",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CURIE AVE APT 1",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111656",
            "telephone_number": "973-618-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETTS",
        "first_name": "NATASHA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Combiz Rezayat, M.D.
• Diana Riccioli, M.D.
• Daniel A Rice, M.D.
• Robert Alan Richman, D.C.
• Warren Richman, DMD
• Pearl B Ricklis, LCSW
• Kristi Ann Riddle, OTD
• Aiman Rifai, M.D.
• Rightway ABA of NJ LLC (RightWay ABA)
• Roy Rim, LMFT

• Clinical Medical Laboratory in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.