Individual provider Active NPI

Sharon Bibergal, MS,CCC-SLP

  • Speech-Language Pathologist
  • Rego Park, NY
National Provider Identifier
1386780351
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
003433-1 Issued in NY
Practice address
98-05 67TH Ave.
Apt. 5L
Rego Park, NY 11374-4969
Phone
(718) 997-7880
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 003433-1 NY Primary

Addresses

Primary practice location

98-05 67TH Ave.
Apt. 5L
Rego Park, NY 11374-4969

Mailing address

98-05 67TH Ave.
Apt. 5L
Rego Park, NY 11374-4969
Phone (718) 997-7880

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
003433-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386780351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-05 67TH AVE.",
            "address_2": "APT. 5L",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744969",
            "telephone_number": "718-997-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-05 67TH AVE.",
            "address_2": "APT. 5L",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744969",
            "telephone_number": "718-997-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBERGAL",
        "first_name": "SHARON",
        "name_prefix": "Ms.",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "003433-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.