Individual provider Active NPI

Doris Ribaric, MSED

  • Specialist
  • New Hyde Park, NY
National Provider Identifier
1073935672
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
825200 Issued in NY
Practice address
16 Corwin Ave
New Hyde Park, NY 11040-3911
Phone
(516) 589-9702
NPI assigned
Jan 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 825200 NY Primary

Addresses

Primary practice location

16 Corwin Ave
New Hyde Park, NY 11040-3911

Mailing address

16 Corwin Ave
New Hyde Park, NY 11040-3911
Phone (516) 589-9702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
825200NYMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1073935672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CORWIN AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403911",
            "telephone_number": "516-589-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CORWIN AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403911",
            "telephone_number": "516-589-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBARIC",
        "first_name": "DORIS",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "825200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.