Individual provider Active NPI

Sara Ribak, MSN,FNP

  • Family Nurse Practitioner
  • Roslyn Heights, NY
National Provider Identifier
1568743540
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
333009-1 Issued in NY
Practice address
1 Expressway PLZ
Suite 203
Roslyn Heights, NY 11577-2047
Phone
(516) 647-8152
Fax
(516) 484-6027
NPI assigned
Sep 2, 2011
Last updated
Sep 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 333009-1 NY Primary

Addresses

Primary practice location

1 Expressway PLZ
Suite 203
Roslyn Heights, NY 11577-2047

Mailing address

1 Expressway PLZ
Suite 203
Roslyn Heights, NY 11577-2047
Phone (516) 647-8152

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 - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
333009-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physician Services, PC PastSince Mar 10, 2009 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1568743540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXPRESSWAY PLZ",
            "address_2": "SUITE 203",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772047",
            "telephone_number": "516-647-8152",
            "fax_number": "516-484-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXPRESSWAY PLZ",
            "address_2": "SUITE 203",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772047",
            "telephone_number": "516-647-8152",
            "fax_number": "516-484-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBAK",
        "first_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "MSN,FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "333009-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.