Angella Gibson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

900324 Issued in NY

Practice address

70 Columbia St
West Babylon, NY 11704-1904

Phone

(917) 291-3131

NPI assigned

Aug 30, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1720812845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 COLUMBIA ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117041904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 COLUMBIA ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117041904",
            "telephone_number": "917-291-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "ANGELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "900324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doreen Amalfy Germosen, LCSW
• Jeni Gervasi
• Theresa Kathleen Gesswein-Jusino, LMT
• Maryann Giambalvo-Grosso, SLP
• Heather Ann Gianotti
• Joseph Gigante, DO
• Melissa Gilchrist, MS ED
• Shreya Gir
• Mary Kathryn Goebel
• Timothy Jason Golub, PT

• Registered Nurse in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.