MATTHEW THOMAS HICKLING PNP NPI 1811478191

NPI Information

  • NPI: 1811478191
  • Provider Name: MATTHEW THOMAS HICKLING, PNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 6 WELLNESS WAY STE 101
    LATHAM, NY
    ZIP 12110
  • Phone: (518) 782-7733

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NPI Details

Matthew Thomas Hickling, PNP is a pediatrics nurse practitioner in Latham, NY. Matthew Thomas Hickling, PNP NPI is 1811478191. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6 WELLNESS WAY STE 101
LATHAM, NY
ZIP 12110-156
Phone: (518) 782-7733
Fax: (518) 782-0800

The enumeration date for this NPI number is 8/24/2018 and was last updated on 2/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics382896NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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