MR. MICHAEL GIBBONS (NPI# 1396153839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396153839 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL GIBBONS |
| Credential | MS,OTR/L |
| Practice Address |
93 Jordan Blvd Delmar NY 12054-4105 |
| Practice Telephone | 5184399654 |
| Mailing Telephone | 5184399654 |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 009064-1 | NY | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801389788 | Michael Thomas Gibbons | Surgery | Surgery Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2018-06-14 |
| 1083895999 | Michael Joseph Gibbons | Registered Nurse | 12 Scenic Hills Dr, Ridge, NY 11961-3022 | 2007-11-19 |
| 1184693574 | Michael T Gibbons | Nurse Anesthetist, Certified Registered | 421 Se Osceola St, Ste 3, Stuart, FL 34994-2505 | 2006-03-16 |
| 1538167234 | Michael J Gibbons | Dentist | 7477 E Doubletree Ranch Rd, Suite 200, Scottsdale, AZ 85258-2048 | 2005-07-07 |
| 1063888253 | Michael Gibbons | Nurse Practitioner | 173 Chelsea St, Everett, MA 02149-4632 | 2015-08-11 |
| 1215126925 | Michael T Gibbons | Emergency Medicine | 1296 Tod Pl Nw, Suite 200, Warren, OH 44485-2474 | 2007-10-18 |
| 1285838763 | Michael D Gibbons | Hospitalist | 4220 Harding Rd, Suite 500, Nashville, TN 37205-2005 | 2007-06-11 |
| 1083825905 | Michael Gibbons | Massage Therapist | 19102 State Route 410 E Ste A, Bonney Lake, WA 98391-8449 | 2007-05-24 |
| 1659598563 | Michael Gibbons | Counselor | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2007-04-20 |
| 1104970664 | Michael P Gibbons | Dentist | 4801 W Peterson Ave, Suite 550, Chicago, IL 60646-5795 | 2007-01-22 |
| Street Address |
93 JORDAN BLVD |
| City | DELMAR |
| State | NY |
| Zip Code | 12054-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344743 | Jared Russom | Specialist/Technologist | 13 Brookview Ave., Delmar, NY 12054 | 2020-10-17 |
| 1457825804 | Sharmon Michele Valerian | Physical Therapist | 241 Westchester Dr S, Delmar, NY 12054 | 2019-01-18 |
| 1821519935 | Jody Gail Ference | Occupational Therapist | 700 Delaware Ave., Bethlehem Central School District, Delmar, NY 12054 | 2017-06-28 |
| 1437688181 | Lullaby Lactation | Registered Nurse | 47 Crystal Lane, Delmar, NY 12054 | 2017-06-07 |
| 1306380852 | Katherine Mcguinness | Social Worker | 10 Hallwood Rd Ste D, Delmar, NY 12054 | 2016-12-16 |
| 1427465731 | Judy Marie Wilday | Registered Nurse | 30 Hunter Road, Delmar, NY 12054 | 2014-07-18 |
| 1063772226 | Fabiola Allisson Estrada | Physician Assistant | 99 Delaware Ave # Mc133, Delmar, NY 12054 | 2012-05-22 |
| 1366765075 | Carmen Lewis Panetta Jr. | Pharmacist | 293 Elm Aveune, Delmar, NY 12054 | 2010-03-09 |
| 1164669990 | Caroline Macrae | Speech-Language Pathologist | 16 Axbridge Lane, Delmar, NY 12054 | 2009-01-15 |
| 1316155336 | Sailaja Alapati | Anesthesiology | 18 Salem Road, Delmay, NY 12054 | 2007-05-21 |
| Find all providers in zip 12054 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265422166 | Good Samaritan Lutheran Health Care Center | Skilled Nursing Facility | 125 Rockefeller Rd, Delmar, NY 12054-2221 | 2005-10-24 |
| 1356336622 | Chancellor Care Center of Delmar | Skilled Nursing Facility | 101 Delaware Ave, Delmar, DE 19940-1110 | 2005-09-13 |
| 1154956613 | Delmar Snf Operations Associates LLC | Skilled Nursing Facility | 125 Rockefeller Rd, Delmar, NY 12054-2221 | 2020-03-05 |
| 1336539717 | 101 E Delaware Ave Operations LLC | Skilled Nursing Facility | 101 Delaware Ave, Delmar, DE 19940-1110 | 2015-01-23 |
| 1417224833 | Envoy of Delmar, LLC | Skilled Nursing Facility | 101 Delaware Ave, Delmar, DE 19940-1110 | 2011-11-30 |
| 1407976871 | Good Samaritan Lutheran Health Care Center, Inc. | Skilled Nursing Facility | 125 Rockefeller Rd, Delmar, NY 12054-2221 | 2007-03-30 |
| 1891703328 | Mid-atlantic of Delmar, LLC | Skilled Nursing Facility | 101 Delaware Ave, Delmar, DE 19940-1110 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730701343 | Diamond Medical Employment Agency Inc | Skilled Nursing Facility | 21873 Hempstead Ave, Queens Village, NY 11429-2103 | 2020-05-18 |
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1659936334 | Nelson Tannis | Skilled Nursing Facility | 165 Broadway, New York, NY 10006-1404 | 2019-05-07 |
| 1295390029 | Westgate Operations Associates LLC | Skilled Nursing Facility | 525 Beahan Rd, Rochester, NY 14624-3403 | 2019-05-07 |
| 1952883423 | Roscoe Regional Healthcare LLC | Skilled Nursing Facility | 420 Rockland Rd, Roscoe, NY 12776-6450 | 2018-08-31 |
| 1164904769 | Renaissance Healthcare Group, LLC | Skilled Nursing Facility | 4975 Albany Post Rd, Staatsburg, NY 12580-6032 | 2018-08-30 |
| 1477049807 | Itkin Occupational Therapy PC | Skilled Nursing Facility | 134 Mackenzie Street, Brooklyn, NY 11235 | 2018-07-09 |
| 1699280826 | 239 Legris Avenue Operations LLC | Skilled Nursing Facility | 3118 Quentin Rd, Brooklyn, NY 11234-4235 | 2017-12-11 |
| 1376058578 | Yonkers Gardens, LLC | Skilled Nursing Facility | 115 S Broadway, Yonkers, NY 10701-4006 | 2017-12-10 |
| 1104355536 | Massapequa Center LLC | Skilled Nursing Facility | 101 Louden Ave., Amityville, NY 11701 | 2017-06-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. MICHAEL GIBBONS.
| 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.