1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Physician Assistant
  6. NPI Profile

MR. ANDERSON RICARDO WILSON P.A.
NPI 1063626000
Physician Assistant in Brooklyn, NY

Active since May 09, 2007
611 E 78TH ST, BROOKLYN, NY 11236(646) 344-9134 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Anderson Ricardo Wilson P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANDERSON RICARDO WILSON P.A. (NPI 1063626000) is an individual physician assistant in Brooklyn, New York, licensed in New York (002708-1) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1063626000
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ANDERSON RICARDO WILSONCredential: P.A.
Location Address611 E 78TH STBrooklyn, NY 11236-3307
Mailing Address611 E 78th StBrooklyn, NY 11236-3307 · (646) 344-9134
Phone(646) 344-9134
Sole ProprietorYes
Enumeration DateMay 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063626000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 002708-1
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
611 E 78TH ST, Brooklyn, NY 11236
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anderson Wilson's NPI number?

The NPI number for Anderson Wilson is 1063626000. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Anderson Wilson located?

Anderson Wilson practices at 611 E 78th St, Brooklyn, NY 11236. The listed phone number is (646) 344-9134.

What is Anderson Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Anderson Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.