Individual provider Active NPI

James Frank Tricarico, R-PAC

  • Medical Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1538318654
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
004680-1 Issued in NY
Practice address
2 86TH St
Brooklyn, NY 11209-4210
Phone
(718) 680-8300
Fax
(718) 680-1841
NPI assigned
Sep 12, 2008
Last updated
Sep 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 004680-1 NY Primary

Addresses

Primary practice location

2 86TH St
Brooklyn, NY 11209-4210

Mailing address

8603 Shore Rd
Brooklyn, NY 11209-4221
Phone (718) 680-9313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140711001096 NY Order and Referring Only - Physician Assistant 2466677265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004680-1NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1538318654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8603 SHORE RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094221",
            "telephone_number": "718-680-9313",
            "fax_number": "718-680-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094210",
            "telephone_number": "718-680-8300",
            "fax_number": "718-680-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRICARICO",
        "first_name": "JAMES",
        "middle_name": "FRANK",
        "credential": "R-PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "004680-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.