Individual provider Active NPI

Patricia Gibbons, FNP

  • Family Nurse Practitioner
  • Yonkers, NY
National Provider Identifier
1225406747
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
331533-1 Issued in NY
Practice address
120 Dehaven Dr Apt 128
Yonkers, NY 10703-3600
Phone
(914) 478-4824
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 331533-1 NY Primary

Addresses

Primary practice location

120 Dehaven Dr Apt 128
Yonkers, NY 10703-3600

Mailing address

120 Dehaven Dr Apt 128
Yonkers, NY 10703-3600
Phone (914) 478-4824

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250909001662 NY Practitioner - Nurse Practitioner 7012419815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

120 Dehaven Dr Apt
Suite 128
Yonkers, NY 10703-3600

1240 NW 13TH St
Apt 109
Boca Raton, FL 33486-2172

984 N Broadway
Suite LL03
Yonkers, NY 10701-1308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
331533-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Furqan Tejani, MD PC CurrentSince Aug 15, 2025 Accepting new patients

Locations

984 N Broadway
Ste LL03
Yonkers, NY 10701
Phone (914) 207-1161

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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1225406747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DEHAVEN DR APT 128",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107033600",
            "telephone_number": "914-478-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DEHAVEN DR APT 128",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107033600",
            "telephone_number": "914-478-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "PATRICIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "331533-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.