Individual provider Active NPI

Fiona Gibney, DO

  • Emergency Medicine Physician
  • Monticello, NY
National Provider Identifier
1124557947
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
309294 Issued in NY
Practice address
68 Harris Bushville Rd
Monticello, NY 12701-3027
Phone
(845) 794-3300
NPI assigned
Jun 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 309294 NY Primary

Addresses

Primary practice location

68 Harris Bushville Rd
Monticello, NY 12701-3027

Mailing address

68 Harris Bushville Rd
Monticello, NY 12701-3027
Phone (845) 794-3300

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210816002773 NY Practitioner - Emergency Medicine 8224433156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware River Medicine PLLCGroup PAC ID 4981034550, 30 clinicians

Practice addresses (Care Compare)

160 E Main St
Port Jervis, NY 12771-2253
Phone (845) 858-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
309294NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware River Medicine, PLLC Emergency Medicine CurrentSince Feb 3, 2026 Accepting new patients
Sullivan Emergency Services PC Emergency Medicine CurrentSince Jul 6, 2021 Accepting new patients

Locations

68 Harris Bushville Rd
Monticello, NY 12701
Phone (845) 897-6053

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

Organizations & group practices 2

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1124557947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HARRIS BUSHVILLE RD",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127013027",
            "telephone_number": "845-794-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HARRIS BUSHVILLE RD",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127013027",
            "telephone_number": "845-794-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBNEY",
        "first_name": "FIONA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "309294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, NY

Sources for this page

Verify at the official NPI Registry.