Individual provider Active NPI

Danica Marie Trickett, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1770047300
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
525 E 68TH St
New York, NY 10065-4870
Phone
(212) 746-5454
NPI assigned
Jan 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

525 E 68TH St
New York, NY 10065-4870

Mailing address

7706 Marine Rd Apt 127
North Bergen, NJ 07047-6273

Other practice location 1

350 Engle Street
5 Main
Englewood, NJ 07631
Phone (201) 894-3636

Other practice location 2

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240925000520 NJ Practitioner - Physician Assistant 7810307485 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services - St. Mary's Passaic, LLC Multi-Specialty CurrentSince Jul 14, 2024 Accepting new patients
Brigham and Women's Hospital Current Accepting new patients
Medical Associates of Englewood, PC Multi-Specialty CurrentSince Sep 29, 2025 Accepting new patients
Prime Healthcare Services - St. Mary's Passaic LLC CurrentSince Jul 14, 2024 Accepting new patients
Cape Cod Hospital Inc Current Accepting new patients
Brigham and Womens Physicians Organization Inc Multi-Specialty Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

350 Engle St
#5
Englewood, NJ 07631
Phone (201) 894-3364

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

Interoperability endpoints

  • Direct secure messaging: bir9024@direct.nyp.org
  • Direct secure messaging: germain.danica.bwh@direct.partners.masshiway.net
  • Direct secure messaging: dgermain45006@direct.capecodhealthcare.masshiway.net

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1770047300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7706 MARINE RD APT 127",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "212-746-5454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Engle Street",
            "address_2": "5 Main",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "07631",
            "country_code": "US",
            "telephone_number": "201-894-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Boulevard",
            "address_purpose": "LOCATION",
            "city": "Passaic",
            "state": "NJ",
            "postal_code": "070552840",
            "country_code": "US",
            "telephone_number": "973-365-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRICKETT",
        "first_name": "DANICA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.