Active NPI
Cindy Neiburg, PTBS
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1093950644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009741-1
- Practice address
- 2072 Ocean Ave
Suite 101
Brooklyn, NY 11230-7379 - Phone
- (718) 616-1450
- Fax
- (718) 743-8186
- NPI assigned
- Dec 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009741-1 | NY | Primary |
Addresses
Primary practice location
2072 Ocean Ave
Suite 101
Brooklyn, NY 11230-7379
Mailing address
1101 E 19TH St
Brooklyn, NY 11230-4501
Phone (718) 253-6082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090324000562 | NY | Practitioner - Physical Therapist in Private Practice | 2668539321 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009741-1 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228953600000",
"number": "1093950644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 E 19TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112304501",
"telephone_number": "718-253-6082",
"fax_number": "718-743-8186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2072 OCEAN AVE",
"address_2": "SUITE 101",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112307379",
"telephone_number": "718-616-1450",
"fax_number": "718-743-8186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIBURG",
"first_name": "CINDY",
"credential": "PTBS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-11",
"last_updated": "2008-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "009741-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.