Helen Indictor, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

23008097 Issued in NY

Practice address

75 Vanderbilt Ave
Staten Island, NY 10304-2604

Phone

(718) 818-5638

NPI assigned

Oct 15, 2010

Sex

Female

Sole proprietor

No

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

Physician Assistant

State licenses

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1679883284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 ARBUTUS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125837",
            "telephone_number": "917-714-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 VANDERBILT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042604",
            "telephone_number": "718-818-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDICTOR",
        "first_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "23008097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa C Incherchera, RN
• Inclusive Health, LLC
• Kim Incontrera
• Salvatore Rosario Indelicato, D.M.D.
• Zaira Indelicato
• Linda Indig
• Louis Raphael Infante, LCSW
• Infusion Healthcare LLC
• Paul V Ingenito, LMSW
• Letitia Ingram-Brown

• Medical Physician Assistant in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.