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

Tatiana Ricketts, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1972843944

Tatiana Ricketts, MD is an Obstetrics/Gynecology in Bethpage, New York. Qualified in 2007, 19 years ago. Practices with North Shore Hematology Oncology Associates PC, a 473-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1055 Stewart Ave
Bethpage, NY 11714-3596
Phone: (516) 938-0100
Fax: (516) 938-0120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 760 Broadway, Brooklyn, NY 11206 — (718) 963-8000
  • 96-10 Metropolitan Ave, Forest Hills, NY 11375-6625 — (718) 459-0400
  • 350 South Broadway, Hicksville, NY 11801-5006 — (516) 938-0100
  • 1991 Marcus Ave, New Hyde Park, NY 11042-2057 — (516) 354-1600

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 267740 (NY)

Record details

NPI number1972843944
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 27, 2013
Last updated in NPPESFebruary 26, 2021
Certification dateFebruary 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice North Shore Hematology Oncology Associates Pc — 473 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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