David Sibulkin, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0988591 Issued in NY

Practice address

240 Central Park S
#19J
New York, NY 10019-1457

Phone

(212) 581-6257

Fax

(212) 581-6257

NPI assigned

Aug 11, 2006

Last updated

Jan 25, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1225049687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CENTRAL PARK S",
            "address_2": "#19J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191457",
            "telephone_number": "212-581-6257",
            "fax_number": "212-581-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CENTRAL PARK S",
            "address_2": "#19J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191457",
            "telephone_number": "212-581-6257",
            "fax_number": "212-581-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBULKIN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "0988591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Siasoco
• Evan Gelenn Dio Siau, M.D.
• Caroline Sibblies
• Jonathan Sibley, LCSW
• Demitra Sibos
• Gregory Thomas Sica, MD
• Rocel Vicente Sicad, PTA
• Evangeline Irene Sicalides, PH.D.
• Florence Anne Sicard
• Birgit Anne Siceloff, ANP

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.