Dobgima Erick, DNP, FNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

402889 Issued in NY

Practice address

400 E Main St
Mount Kisco, NY 10549-3477

Phone

(914) 666-1200

Fax

(914) 666-1976

NPI assigned

Oct 10, 2015

Last updated

Apr 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dr. Dobgima Erick Professional name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: derick48879@northwell.direct-ci.com
• Direct secure messaging: yfq9001@direct.nyp.org

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

• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment Care Compare group NPD
• Harbor Family Health NP PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
  • NPI 1831666833
  Medicare reassignment NPD
• Medical Director Services PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Princess Anne, MD
  • NPI 1871955807

  NY

  Medicare reassignment
• Access Care NP Psychiatry & Family Health, PLLC

  dba Access Care NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
  • NPI 1013498286
  Authorized official Same address or phone
• Harris Health Care Services NP in Family Health PLLC

  • Nurse Practitioner
  • Bronx, NY
  • NPI 1902603293
  NPD
• North Shore - Lij Medical PC

  dba NSLIJ Medical In Queens

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1790043479
  NPD
• Northern Westchester Hospital Association

  dba Northern Westchester Hospital

  • General Acute Care Hospital
  • Mount Kisco, NY
  • NPI 1912992215
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northern Westchester Hospital Association

  dba Northern Westchester Hospital Transitional Care Unit

  • Medicare Defined Swing Bed Hospital Unit
  • Mount Kisco, NY
  • NPI 1396178356
  Care Compare affiliation
• Northern Westchester Hospital Association

  dba Northern Westchester Hospital

  • General Acute Care Hospital
  • Mount Kisco, NY
  • NPI 1912992215
  Care Compare affiliation

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

{
    "created_epoch": "1444435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1972974475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W 238TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104632208",
            "telephone_number": "845-605-8045",
            "fax_number": "992-245-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493477",
            "telephone_number": "914-666-1200",
            "fax_number": "914-666-1976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 W 238th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104632208",
            "country_code": "US",
            "telephone_number": "845-605-8045",
            "fax_number": "909-245-9122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICK",
        "first_name": "DOBGIMA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-10",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340537",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402889",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "668798",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04536325",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOBGIMA",
            "last_name": "ERICK",
            "prefix": "DR.",
            "credential": "DNP, FNP-BC,PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tracey B. Emanuel, F.N.P.
• Maureen D Empfield, MD
• Chinedum Steven Enyinna, M.D.
• Gene Epstein, NP
• Eric C. Drucker DC. ,PC Dba Northern Westchester Chiropractic Office (Northern Westchester Chiropractic Office)
• Ben Eschenheimer
• Ann Marie Evanko, D.M.D.
• Everwell Acupuncture by Teruko PLLC
• Expert Physical Medicine & Rehabilitation, PC
• Charlotte Elizabeth Falk, PH.D.

• Psychiatric/Mental Health Nurse Practitioner in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.