Individual provider Active NPI

Jennifer Naliboff, PT, DPT

  • Physical Therapist
  • Little Neck, NY
National Provider Identifier
1174196703
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021894-1 Issued in NY
Practice address
5444 Little Neck Pkwy Apt 5T
Little Neck, NY 11362-2270
Phone
(516) 319-2065
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 021894-1 NY Primary

Addresses

Primary practice location

5444 Little Neck Pkwy Apt 5T
Little Neck, NY 11362-2270

Mailing address

5444 Little Neck Pkwy Apt 5T
Little Neck, NY 11362-2270
Phone (516) 319-2065

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

LicenseStateTypeSpecialty
021894-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sweeten Health Physical Therapy Rehabilitation Services PC Physical Therapist CurrentSince Sep 12, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1174196703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5444 LITTLE NECK PKWY APT 5T",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622270",
            "telephone_number": "516-319-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5444 LITTLE NECK PKWY APT 5T",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622270",
            "telephone_number": "516-319-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALIBOFF",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021894-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.