MR. RICKEY LOGAN JR. PNP
NPI 1417309824
Nurse Practitioner - Pediatrics, Critical Care in New York, NY

Active since July 08, 2016
550 1ST AVE, NEW YORK, NY 10016(513) 706-8109 Get Directions Write a Review

NPPES record last updated: July 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Rickey Logan Jr. Pnp NPPES

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

MR. RICKEY LOGAN JR. PNP (NPI 1417309824) is an individual pediatrics, critical care provider in New York, New York, licensed in New York (382652) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1417309824
Entity TypeIndividualMale
Primary Taxonomy363LP0222X
Provider Legal NameMR. RICKEY LOGAN JR.Credential: PNP
Location Address550 1ST AVENew York, NY 10016-6402
Mailing Address550 1st AveNew York, NY 10016-6402
Sole ProprietorYes
Enumeration DateJuly 8, 2016
NPI 1417309824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License Licensed in NY · 382652
550 1ST AVE, New York, NY 10016

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.

Internal Medicine
550 1ST AVE
NEW YORK, NY 10016
Emergency Medicine (Pediatric Emergency Medicine)
550 1ST AVE
NEW YORK, NY 10016
Allergy & Immunology
550 1ST AVE, NBV 16N30, INTERNAL MEDICINE RESIDENCY PROGRAM
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
Radiology (Vascular & Interventional Radiology)
550 1ST AVE
NEW YORK, NY 10016
Surgery
550 1ST AVE
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016

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 Rickey Logan's NPI number?

The NPI number for Rickey Logan is 1417309824. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Where is Rickey Logan located?

Rickey Logan practices at 550 1st Ave, New York, NY 10016. The listed phone number is (513) 706-8109.

What is Rickey Logan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

When was this NPI record last updated?

The NPPES record for Rickey Logan was last updated on July 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.