Pauline Tabibian, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

250058-0 Issued in NY

Practice address

480 Bedford Rd Ste 4202
Chappaqua, NY 10514-1716

Phone

(914) 244-8762

NPI assigned

Sep 4, 2008

Last updated

May 19, 2022By the provider in NPPES

Sex

Female

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Albert Einstein College of Medicine of Yeshiva University, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Shore - Lij Anesthesiology, PC

  • Anesthesiology Physician
  • Chappaqua, NY
  • NPI 1417401266
  Medicare reassignment Care Compare group NPD
• Long Island Center for Digestive Health LLC

  • Ambulatory Surgical Clinic/Center
  • Uniondale, NY
  • NPI 1184666364
  Medicare reassignment
• Garden State Sports & Pain Medicine, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Clifton, NJ
  • NPI 1821580747
  NPD
• Medical Ancillary Services, PLLC

  • Anesthesiology Physician
  • Pomona, NY
  • NPI 1427344373
  NPD (past)
• Nassau Anesthesia Associates PC

  • Anesthesiology Physician
  • Mineola, NY
  • NPI 1578961645
  NPD (past)

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1457509234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 1ST ST",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013901",
            "telephone_number": "516-741-0570",
            "fax_number": "516-741-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 BEDFORD RD STE 4202",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105141716",
            "telephone_number": "914-244-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABIBIAN",
        "first_name": "PAULINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "250058-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Stechler, RD CDN
• Annette Fewell Steiner, PH.D.
• Marc Joshua Straus, MD
• Laura Beth Strober, MS, SLP-CCC
• Joseph Sullivan, MPT
• Geraldine Tam, RN BSN
• Sonia Thomas
• Sarah Todd, DPT
• Julie Torregrosa
• Elaine H. Tulis, PH.D.

• Anesthesiology Physician in Chappaqua, NY
• Providers in Chappaqua, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.