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MS. DEIRDRE SHADEIA REDDICK PA
NPI 1164502936
Physician Assistant in Jamaica, NY

Active since October 16, 2006
82-68 164TH ST, JAMAICA, NY 11432(718) 883-3225(718) 883-6193 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Deirdre Shadeia Reddick Pa NPPES

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

MS. DEIRDRE SHADEIA REDDICK PA (NPI 1164502936) is an individual physician assistant in Jamaica, New York, licensed in New York (008708) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1164502936
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. DEIRDRE SHADEIA REDDICKCredential: PA
Location Address82-68 164TH STJamaica, NY 11432-1121
Mailing Address79-01 Broadway, Managed Care, D1-01Elmhurst, NY 11373-1329 · (718) 334-1921 · Fax (718) 334-3432
Phone(718) 883-3225
Fax(718) 883-6193
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164502936 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 · 008708
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.
82-68 164TH ST, Jamaica, NY 11432
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Other Identifiers 2

Medicare ID-Type Unspecified0033S231NY
Medicaid02645533NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ALIYAMMA SAMUEL NP
Nurse Practitioner (Adult Health)
82-68 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225
DR. VERONICA JANE FISKE PH.D
Psychologist
82-68 164TH ST, AOPC QUEENS HOSPITAL CENTER
JAMAICA, NY 11432
Queens County (718) 883-2970
RITU DATTA OTR/L
Occupational Therapist
82-68 164TH ST, 5TH FLOOR
JAMAICA, NY 11432
Queens County (718) 883-3000
MR. LLOYD LYNFORD MYERS PA
Physician Assistant (Surgical)
82-68 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225
LEAHA MACKENZIE ADAM M.D.
Student in an Organized Health Care Education/Training Program
82-68 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-4037
DR. PAUL JOON KIM MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
82-68 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225
MS. MIRIAM RUTH LACHINA NP
Nurse Practitioner (Adult Health)
82-68 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225
MS. PATRICIA PLOVER MCNULTY NP
Nurse Practitioner (Pediatrics)
82-68 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225

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 Deirdre Reddick's NPI number?

The NPI number for Deirdre Reddick is 1164502936. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Deirdre Reddick located?

Deirdre Reddick practices at 82-68 164th St, Jamaica, NY 11432. The listed phone number is (718) 883-3225.

What is Deirdre Reddick'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 Deirdre Reddick 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.