MRS. MELIE SIMON TIBURCIO FNP NPI 1215273149

NPI Information

NPI: 1215273149
Provider Name: MRS. MELIE SIMON TIBURCIO, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
177 FORT WASHINGTON AVE
MHB 7-435 GN
NEW YORK, NY
ZIP 10032
Phone: (212) 305-6003
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MRS. Melie Simon Tiburcio, FNP is a family nurse practitioner in New York, NY with 13 years of experience. MRS. Melie Simon Tiburcio, FNP NPI is 1215273149. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

177 FORT WASHINGTON AVE
MHB 7-435 GN
NEW YORK, NY
ZIP 10032-733
Phone: (212) 305-6003
Fax: (212) 305-0907

The NPI 1215273149 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/20/2012 and was last updated on 4/30/2018.

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	363LF0000X	Nurse Practitioner	Family	F337011-1	NEW YORK	Yes
2	363LF0000X	Nurse Practitioner	Family	7607314	NEW YORK	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3543304	MEDICAID	NEW YORK

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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