Active NPI
Anastasia Sibilla, DDS
- General Practice Dentistry
- Jersey City, NJ
National Provider Identifier
1164004552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25597
- Practice address
- 418 Summit Ave
Jersey City, NJ 07306-3101 - Phone
- (201) 499-1969
- NPI assigned
- Apr 25, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25597 | FL | Primary |
Addresses
Primary practice location
418 Summit Ave
Jersey City, NJ 07306-3101
Mailing address
115 Morris St Apt 1226
Jersey City, NJ 07302-4592
Phone (646) 379-1348
Other names 1
- Anastasiia Sibilla
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | anastasiia.sibilla@rwjbh.org |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25597 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619308800000",
"number": "1164004552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MORRIS ST APT 1226",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024592",
"telephone_number": "646-379-1348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 SUMMIT AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073063101",
"telephone_number": "201-499-1969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIBILLA",
"first_name": "ANASTASIA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-25",
"last_updated": "2021-04-25",
"certification_date": "2021-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "25597",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "anastasiia.sibilla@rwjbh.org",
"affiliation": "N",
"address_1": "418 Summit Ave",
"city": "Jersey City",
"state": "NJ",
"country_code": "US",
"postal_code": "073063101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANASTASIIA",
"last_name": "SIBILLA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.