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Deactivated NPI 1437450178 Deactivated / Inactive NPI Male Practitioner

Ian S A Nickles

Driver • Brooklyn, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ian Nickles has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 11, 2010
NPI Deactivation Date April 30, 2021
Total Practice Duration ~11 Years of Practice (2010 – 2021)

Professional Overview & Biography Verified Profile Summary

Ian Nickles was a registered Driver practicing in Brooklyn, NY. Throughout an active medical career spanning 11 years, Ian Nickles provided care at the practice location at 735 NOSTRAND AVE until profile deactivation on 2021-04-30.

Practice Location & Contact Primary Location

Practice Address

735 Nostrand Ave

Brooklyn, NY 11216

Telephone 3474936130
Fax 7184937447
Associated Practice Facility / Clinic
🏢 Catch Ah Ride Limo Inc. Facility NPI 1558644526

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Brooklyn, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
30 Specialists

Practicing in Brooklyn, NY (262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License NY B02045

A person employed to operate a motor vehicle as a carrier of persons or property.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 30, 2021

Record deactivated on April 30, 2021

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NPI Profile Active November 11, 2010

NPI status registered as active in NPPES database

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Updated Practice Location November 11, 2010

Registered at 735 NOSTRAND AVE, BROOKLYN, NY 11216 (Tel: 3474936130)

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Updated Business Mailing Address November 11, 2010

Registered at 735 NOSTRAND AVE, BROOKLYN, NY 112164211 (Tel: 3474936130)

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Provider Name / Credentials Updated November 11, 2010

Recorded as IAN NICKLES

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2010

Driver (License #B02045 in NY)

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Initial NPI Registration & Enumeration November 11, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437450178
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2010
Last Update: November 11, 2010
Deactivation Date: April 30, 2021
Update or Correct Profile

Mailing Address

735 Nostrand Ave

Brooklyn, NY 112164211

Phone: 3474936130

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.