NATASHA J RICKETTS
Complete NPI Record 1285382259
Clinical Medical Laboratory in Clifton, NJ

NPI Status: Active since March 17, 2022

Contact Information

122 CURIE AVE APT 1
CLIFTON, NJ
ZIP 07011
Phone: (973) 618-6603

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Complete NPI Dataset

This page represents the complete record for NPI 1285382259. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1285382259
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 1
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: NATASHA
The last name of the provider. If the provider is an individual, this is the legal name.
Provider Middle Name: J
The middle name of the provider, if the provider is an individual.
Provider First Line Business Mailing Address: 122 CURIE AVE APT 1
The middle name of the provider, if the provider is an individual.
Provider Business Mailing Address City Name: CLIFTON
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: NJ
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address Postal Code: 070111656
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider First Line Business Practice Location Address: 122 CURIE AVE APT 1
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: CLIFTON
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address State Name: NJ
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 070111656
The State code in the location of the provider being identified.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 9736186603
The country code in the location address of the provider being identified.
Provider Enumeration Date: 3/17/2022
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 3/17/2022
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 291U00000X
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: Y
NPI Certification Date: 3/17/2022