Provider Demographics
NPI:1053297804
Name:RIGGINS, JOHN K SR (RN)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:K
Last Name:RIGGINS
Suffix:SR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:218 BROOKLYN AVE PH
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-1908
Mailing Address - Country:US
Mailing Address - Phone:347-488-9269
Mailing Address - Fax:
Practice Address - Street 1:2050 DEAN ST PH
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-4002
Practice Address - Country:US
Practice Address - Phone:347-488-9269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY624902-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse