Individual provider Active NPI

Nina Malika Hicks, MD

  • Family Medicine Physician
  • Franklin Square, NY
National Provider Identifier
1841553310
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
279813 Issued in NY
Practice address
1209 Hempstead Tpke
Franklin Square, NY 11010-1537
Phone
(516) 377-8014
NPI assigned
Jun 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 279813 NY Primary

Addresses

Primary practice location

1209 Hempstead Tpke
Franklin Square, NY 11010-1537

Mailing address

1209 Hempstead Tpke
Franklin Square, NY 11010-1537
Phone (516) 377-8014

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151006001893 NY Practitioner - Family Practice 0941518294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jacqueline Delmont MD PCGroup PAC ID 6507762473, 9 clinicians

Practice addresses (Care Compare)

55 N Main St
Freeport, NY 11520-2243
Phone (516) 377-8014

Merit-based Incentive Payment System (MIPS)

Final score
92.39 of 100Reported as group
Quality
72.52
Promoting interoperability
93
Improvement activities
40
Cost
91.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 1, 2015 Accepting new patients
Jacqueline Delmont MD PC Family Medicine CurrentSince Jun 6, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2015 Accepting new patients
First Medcare, Inc. Past Accepting new patients
Mochi Medical Ca PC Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1624 Central Ave
Far Rockaway, NY 11691
Phone (516) 741-6464

1209 Hempstead Tpke
Franklin Square, NY 11010
Phone (516) 352-8300

55 N Main St
Freeport, NY 11520
Phone (516) 352-8300

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1841553310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 HEMPSTEAD TPKE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110101537",
            "telephone_number": "516-377-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 HEMPSTEAD TPKE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110101537",
            "telephone_number": "516-377-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "NINA",
        "middle_name": "MALIKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "279813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Square, NY

Sources for this page

Verify at the official NPI Registry.