Patricia M. Hicks MD PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MA 38070 Issued in NJ

Legal business name

PATRICIA M. HICKS MD PA

Practice address

119 First St
Suite 5
Ho Ho Kus, NJ 07423-1575

Phone

(201) 444-5277

Fax

(201) 444-2607

NPI assigned

Jan 16, 2011

Last updated

Jan 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Hicks Hartman, MD

Title

President

Phone

(201) 444-5277

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1295136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295136000000",
    "number": "1619272044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MANOR RD",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074813461",
            "telephone_number": "201-444-5277",
            "fax_number": "201-444-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 FIRST ST",
            "address_2": "SUITE 5",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231575",
            "telephone_number": "201-444-5277",
            "fax_number": "201-444-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA M. HICKS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-16",
        "last_updated": "2011-01-16",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "HICKS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-444-5277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "MA 38070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL PHYSICIAN NPI",
            "identifier": "1164488284",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sujean Oh, DDS
• Olivia Ohngemach
• Ann Marie Olson I, SC.D., CCC-A
• Victoria Ozerskaya
• Sabine Elizabeth Page, DMD
• Personal Best Rehab PT PC
• Kaitlyn Cooney Peters, NP
• Noel F Plasker, D.C.
• Patricia A Polizzi-Walker, MS, CCC/SLP
• Peter Nicholas Ponzini, D.C.

• Medical Specialty Clinic/Center in Ho Ho Kus, NJ
• Providers in Ho Ho Kus, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2011; 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.