Janet B Erickson, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD039546L Issued in PA

Practice address

90 S Windsor Ave
Brightwaters, NY 11718-1505

Phone

(631) 665-7515

NPI assigned

Jul 29, 2008

Last updated

Jul 29, 2008By the provider in NPPES

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1568627693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 S WINDSOR AVE",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181505",
            "telephone_number": "631-665-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S WINDSOR AVE",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181505",
            "telephone_number": "631-665-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JANET",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD039546L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Dezego, PA-C
• Eric John Dieckmann
• Jessica Dufour Rosado
• Tashina Elizabeth Dussie, D.O
• Epic Medical Associates LLC
• Nicole Lynn Flandina, FNP-C
• Eric C Freeman, D.O.
• Isabella Rose Giordano
• Nicole Grehn, AGPCNP-C
• Kaitlin Haines, M.D.

• General Practice Physician in Brightwaters, NY
• Providers in Brightwaters, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.