LYBIA BURGOS (NPI# 1265707863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265707863 |
Entity Type | Individual |
Full Name | LYBIA BURGOS |
Credential | CRNP |
Practice Address |
5301 Broadway West New York NJ 07093-2622 |
Mailing Address |
98 Zabriskie St Jersey City NJ 07307-3712 |
Practice Telephone | 2018669320 |
Mailing Telephone | 2017619260 |
Enumeration Date | 2012-03-14 |
Last Update Date | 2012-03-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
NN00406 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 7324804 | 05 |
Street Address |
5301 BROADWAY |
City | WEST NEW YORK |
State | NJ |
Zip Code | 07093-2622 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306810213 | Debra Roma-distefano | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2006-02-15 |
1407466048 | Patricia Mary Boyce | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2020-08-07 |
1215567409 | Danny Tamayo | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2020-01-16 |
1912545112 | Elizabeth Sasso-karelitsky | Dietitian, Registered | 5301 Broadway, West New York, NJ 07093-2622 | 2019-12-18 |
1952954398 | Kassandra Lynn Kayal | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2019-07-23 |
1124591052 | Jacquelyn S Stathis | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2019-01-03 |
1629528914 | Cardinal Health 132 LLC | Pharmacy | 5301 Broadway, West New York, NJ 07093-2622 | 2016-10-11 |
1871929885 | Ololade F Akinronbi | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2013-09-23 |
1891049490 | Velma Asneth Frasier | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2012-11-04 |
1043584378 | Lucia Jacqueline Knapp | Counselor | 5301 Broadway, West New York, NJ 07093-2622 | 2012-03-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235745225 | Denmari Berberabe | Physical Therapist | 6000 John F. Kennedy Boulevard, West New York, NJ 07093 | 2020-09-16 |
1801409321 | William T Chen | Pharmacist | 6012 Kennedy Boulevard, West New York, NJ 07093 | 2020-08-25 |
1598374050 | Benita Strickland | Physical Therapy Assistant | 6000 John F. Kennedy Blvd, West New York, NJ 07093 | 2020-07-30 |
1053964809 | Santvana Vyas | Dentist | 6020 Broadway, Fl#2, West New York, NJ 07093 | 2019-07-22 |
1043875552 | Natalya V Fryazin | Counselor | 444 60th St., 2nd Flr, West New York, NJ 07093 | 2019-05-09 |
1558844209 | Merrideth Kennedy | Occupational Therapist | 6612-18 Bergenline Ave, West New York, NJ 07093 | 2018-09-10 |
1578072385 | Allied Healthcare Diagnostics | Radiology | 560 60th Street, Suite A, West New York, NJ 07093 | 2017-09-25 |
1265889695 | Bilingual Counseling Services, LLC | Community/Behavioral Health | 574 67th Street, Apt 2, West New York, NJ 07093 | 2016-05-16 |
1083079297 | Dino Pascual | Registered Nurse | 25 Port Imperial Avenue, Apt. 111, West New York, NJ 07093 | 2015-12-15 |
1992179469 | Diane A Doucet | Behavioral Analyst | 140 65th St, Apt 1, West New York, NJ 07093 | 2015-11-21 |
Find all providers in zip 07093 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891316725 | Lynda Nolan | Nurse Practitioner | 24 Dogwood Dr, Whitehouse Station, NJ 08889-3374 | 2020-05-01 |
1669929782 | Courtney Lynne Chambers | Nurse Practitioner | 16 Aristone Drive, Berlin, NJ 08009 | 2016-09-07 |
1326358862 | Edith T Meier | Nurse Practitioner | 80 Eisenhower Drive, Suite 200, Paramus, NJ 07652 | 2010-10-18 |
1114231578 | Susan Righter Grimes | Nurse Practitioner | 7g Heritage Dr, Chatham, NJ 07928-2966 | 2010-07-27 |
1285897215 | Melissa E Sorey | Nurse Practitioner | 1805 Route 206 # 111213, Southampton, NJ 08088-3558 | 2008-07-09 |
1033302757 | Deborah Lee Saltmarsh | Nurse Practitioner | 224 Ocean St, Beach Haven, NJ 08008-1628 | 2007-08-27 |
1801096607 | Jill Elizabeth Chisholm | Nurse Practitioner | 75 Claremont Rd Ste 308, Bernardsville, NJ 07924-2271 | 2007-07-19 |
1982629432 | Terri Fuller | Nurse Practitioner | 694 Rt 15 S. Plaza, Suite 105, Lake Hopatcong, NJ 07849 | 2006-07-13 |
1326013434 | Mary Yori | Nurse Practitioner | 399 Liberty Ave, Jersey City, NJ 07307-4101 | 2006-02-22 |
1023554003 | Monique Erika Schneider | Nurse Practitioner | 222 Oak Ave, Third Floor, Toms River, NJ 08753-3348 | 2017-01-13 |
Find all providers with the same taxonomy |
City | WEST NEW YORK |
Zip Code | 07093 |
Please comment or provide details below to improve the information on LYBIA BURGOS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.