Individual provider Active NPI

Anibal Edgar Ribeiro, MD

  • Hematology & Oncology Physician
  • Staten Island, NY
National Provider Identifier
1558349373
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
140112 Issued in NY
Practice address
1114 Forest Ave
Staten Island, NY 10310-2407
Phone
(718) 720-1700
Fax
(718) 876-8813
NPI assigned
Jan 3, 2006
Last updated
May 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 140112 NY Primary
Hematology & Oncology Physician 207RH0003X ME89681 FL

Addresses

Primary practice location

1114 Forest Ave
Staten Island, NY 10310-2407

Mailing address

1114 Forest Ave
Staten Island, NY 10310-2407
Phone (718) 720-1700

Other identifiers 1

IdentifierTypeStateIssuer
00541382MedicaidNY

Other names 1

  • Dr. Anibal Edgar Ribeiro Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100522000058 NY Practitioner - Internal MedicinePractitioner - Medical Oncology 9931177672 Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME89681FLMDHematology & Oncology Physician
140112NYMDHematology & Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1558349373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102407",
            "telephone_number": "718-720-1700",
            "fax_number": "718-876-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102407",
            "telephone_number": "718-720-1700",
            "fax_number": "718-876-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBEIRO",
        "first_name": "ANIBAL",
        "middle_name": "EDGAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "140112",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME89681",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00541382",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANIBAL",
            "last_name": "RIBEIRO",
            "middle_name": "EDGAR",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.