Individual provider Active NPI

Niah Gibbs

  • Family Nurse Practitioner
  • Wappingers Falls, NY
National Provider Identifier
1083476394
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
353333 Issued in NY
Practice address
66 Middlebush Rd
Wappingers Falls, NY 12590-4098
Phone
(845) 790-2095
NPI assigned
Jan 23, 2024
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 353333 NY Primary

Addresses

Primary practice location

66 Middlebush Rd
Wappingers Falls, NY 12590-4098

Mailing address

1 Balmoral LN
White Plains, NY 10607-2214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410001557 NY Practitioner - Nurse Practitioner 7315385317 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
353333NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mehri Songhorian Medical PC CurrentSince Apr 26, 2025 Accepting new patients
Nuvance Health Medical Practice PC CurrentSince Mar 11, 2024 Accepting new patients
Health Quest Medical Practice, PC CurrentSince Mar 11, 2024 Accepting new patients

Locations

665 Stoneleigh Ave
Ste 205
Carmel, NY 10512
Phone (845) 230-2373

6970 Grand Central Pkwy
Forest Hills, NY 11375
Phone (347) 740-1255

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

66 Middlebush Rd
Ste 302
Wappingers Falls, NY 12590
Phone (845) 790-1380

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1083476394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BALMORAL LN",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106072214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MIDDLEBUSH RD",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904098",
            "telephone_number": "845-790-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "NIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "353333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

Verify at the official NPI Registry.