Individual provider Active NPI

Bibi F. Ali

  • Otolaryngology/Facial Plastic Surgery Physician
  • Stony Brook, NY
National Provider Identifier
1568839934
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
025858-01 Issued in NY
Practice address
Health Science Tower Level 19 RM 068
Stony Brook, NY 11794-5558
Phone
(631) 444-8410
NPI assigned
Sep 1, 2015
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9107971 FL
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 025858-01 NY Primary

Addresses

Primary practice location

Health Science Tower Level 19 RM 068
Stony Brook, NY 11794-5558

Mailing address

135 Newbrook LN
Bay Shore, NY 11706-4400
Phone (954) 736-7214

Other practice location 1

1001 SW 127th Ter
Davie, FL 33325-5558
Phone (954) 474-6761

Other identifiers 1

IdentifierTypeStateIssuer
1568839934MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Bibi.Ali@Direct.StonybrookMedicine.edu

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
025858-01NYMDOtolaryngology/Facial Plastic Surgery Physician
PA9107971FLMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: bibi.ali@direct.stonybrookmedicine.edu

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1568839934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 NEWBROOK LN",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064400",
            "telephone_number": "954-736-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HEALTH SCIENCE TOWER LEVEL 19 RM 068",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117945558",
            "telephone_number": "631-444-8410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 SW 127th Ter",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333255558",
            "country_code": "US",
            "telephone_number": "954-474-6761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "BIBI",
        "middle_name": "F.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9107971",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NY",
            "license": "025858-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568839934",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bibi.Ali@Direct.StonybrookMedicine.edu",
            "affiliation": "N",
            "address_1": "Health Science Tower Level 19 Rm 068",
            "city": "Stony Brook",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117945558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.