MR. MICHAEL JOSEPH GIBBONS RN NPI 1083895999

NPI Information

NPI: 1083895999
Provider Name: MR. MICHAEL JOSEPH GIBBONS, RN
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
12 SCENIC HILLS DR
RIDGE, NY
ZIP 11961
Phone: (631) 775-9317
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MR. Michael Joseph Gibbons, RN is a home health registered nurse in Ridge, NY. MR. Michael Joseph Gibbons, RN NPI is 1083895999. 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:

12 SCENIC HILLS DR
RIDGE, NY
ZIP 11961-022
Phone: (631) 775-9317

The enumeration date for this NPI number is 11/19/2007 and was last updated on 11/19/2007.

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
1	163WH0200X	Registered Nurse	Home Health	4501131	NEW YORK	Yes

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: 4/28/2024

NPI Synchronization or Removal

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