Orangetown Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

167148-1 Issued in NY

Legal business name

ORANGETOWN FAMILY PRACTICE

Practice address

97 Route 303
Tappan, NY 10983-2514

Phone

(845) 359-5005

NPI assigned

Jun 2, 2006

Last updated

Jul 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vincent M Ibelli, MDNPI 1033119599

Title

Partner

Phone

(845) 359-5005

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vincent M Ibelli, MD

  • Family Medicine Physician
  • Tappan, NY
  • NPI 1033119599
  Authorized official Same address or phone

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1306884440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 ROUTE 303",
            "city": "TAPPAN",
            "state": "NY",
            "postal_code": "109832514",
            "telephone_number": "845-359-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 ROUTE 303",
            "city": "TAPPAN",
            "state": "NY",
            "postal_code": "109832514",
            "telephone_number": "845-359-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGETOWN FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "IBELLI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "845-359-5005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "167148-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "CE2055",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nanyawon Inc.
• Joseph Anthony Napoli
• Marla Norris
• Jane Doherty O'Donnell, CERTIFICATION
• Eric J Oberman, D.O.
• Orangetown Pediatric Associates, P.C.
• Michael Anthony Paciello, DPT
• Ida Lissete Perez, MSED SWD
• Pranathi Phooldandikar, PT
• Procore Physical Therapy P.C.

• Family Medicine Physician in Tappan, NY
• Providers in Tappan, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.