Melissa Giblin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7011 Issued in CT

Practice address

75 Holly Hill LN
Greenwich, CT 06830-6098

Phone

(203) 717-1760

NPI assigned

Mar 1, 2021

Last updated

Mar 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Family Centers Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwich, CT
  • NPI 1265477780
  Medicare reassignment
• The Floating Hospital Inc.

  • Federally Qualified Health Center (FQHC)
  • Long Island City, NY
  • NPI 1306954631
  Medicare reassignment
• Family Centers Inc.

  • Multi-Specialty Clinic/Center
  • Greenwich, CT
  • NPI 1235588625
  NPD
• The Floating Hospital Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1275946550
  NPD
• Family Centers Inc

  • Health Service Clinic/Center
  • Stamford, CT
  • NPI 1790818516
  NPD (past)

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1114511219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HOLLY HILL LN",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HOLLY HILL LN",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306098",
            "telephone_number": "203-717-1760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4143 Crescent St",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111013805",
            "country_code": "US",
            "telephone_number": "718-784-2240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBLIN",
        "first_name": "MELISSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026398",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "7011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Tsangaroulis DDS PC (Greenwich Family & Cosmetic Dentistry)
• Silvi George, NP-C
• Gerald Cohen DDS (Greenwich Sleep Apnea)
• Aaron L Gerard, DC
• Molly Gerster
• Stephen Potter Gilbert, LMFT
• Alyssa Gillego, M.D.
• Larisa Ann Gillern, PHYSICIAN ASSISTANT
• Kimberly Macht Gilsenan, MA CCC-SLP
• Catherine Irene Gingras, LCSW

• Physician Assistant in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.