Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Clive Ricketts II, PA

Individual provider Physician Assistant · NPI 1326698572

Mr. Clive Ricketts II, PA is a Physician Assistant in New York, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1468 Madison Ave
New York, NY 10029-6508
Phone: (646) 537-8731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 Driving Park Ave, Newark, NY 14513-1090 — (315) 332-2266

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 023928-01 (NY)

Record details

NPI number1326698572
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 18, 2019
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients87
Services billed 92 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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