Individual provider Active NPI

Carol Giacobbe, M.S.

  • Contractor
  • West Harrison, NY
National Provider Identifier
1780984229
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
012076-1 Issued in NY
Practice address
12 Park Ave
West Harrison, NY 10604-2610
Phone
(914) 374-1556
NPI assigned
Nov 1, 2010
Last updated
Nov 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 012076-1 NY Primary

Addresses

Primary practice location

12 Park Ave
West Harrison, NY 10604-2610

Mailing address

349 Toledo St
Sebastian, FL 32958-4371
Phone (914) 374-1556

Other names 1

  • Mrs. Carol Giacobbe-Gross Former name

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
Master of Science

State licenses

LicenseStateTypeSpecialty
012076-1NYMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Strength and Balance Institute CurrentSince Dec 26, 2023 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

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": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1780984229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 TOLEDO ST",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329584371",
            "telephone_number": "914-374-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PARK AVE",
            "city": "WEST HARRISON",
            "state": "NY",
            "postal_code": "106042610",
            "telephone_number": "914-374-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACOBBE",
        "first_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": "012076-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "GIACOBBE-GROSS",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Harrison, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.