Active NPI
Tibb Healthcare Associates
Doing business as NJ lung Health
- Pulmonary Disease Physician
- Teaneck, NJ
National Provider Identifier
1336750371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- TIBB HEALTHCARE ASSOCIATES
- Doing business as
- NJ lung Health
- Practice address
- 197 Cedar LN
Teaneck, NJ 07666-4317 - Phone
- (201) 500-7126
- NPI assigned
- Aug 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amit S Tibb, MD
- Title
- Owner
- Phone
- (201) 500-7126
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
197 Cedar LN
Teaneck, NJ 07666-4317
Mailing address
12 N Summit St
Tenafly, NJ 07670-1009
Phone (201) 500-7126
Other names 1
- NJ lung Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Englewood, NJ
- NPI 1497269625
-
- Adult Health Nurse Practitioner
- Emerson, NJ
- NPI 1831599976
-
- Anesthesiology Physician
- Ridgewood, NJ
- NPI 1881656635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597276800000",
"number": "1336750371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 N SUMMIT ST",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076701009",
"telephone_number": "201-500-7126",
"fax_number": "984-220-9451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 CEDAR LN",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664317",
"telephone_number": "201-500-7126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIBB HEALTHCARE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A",
"authorized_official_last_name": "TIBB",
"authorized_official_first_name": "AMIT",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-500-7126",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NJ lung Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.