Individual provider Active NPI

Amit S Tibb, MD

  • Pulmonary Disease Physician
  • Bronx, NY
National Provider Identifier
1811914856
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
003539 Issued in NY
Practice address
1400 Pelham Pkwy S
5N-50
Bronx, NY 10461-1138
Phone
(347) 293-7648
NPI assigned
Jul 16, 2006
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 003539 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 003539 NY
Pulmonary Disease Physician 207RP1001X 25MA09506700 NJ
Pulmonary Disease Physician 207RP1001X 003539 NY Primary

Addresses

Primary practice location

1400 Pelham Pkwy S
5N-50
Bronx, NY 10461-1138

Mailing address

1400 Pelham Pkwy S
5N-50
Bronx, NY 10461-1138
Phone (347) 293-7648

Other practice location 1

17-17 Route 208
Fair Lawn, NJ 07410-2820
Phone (973) 777-7377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20140723000100 NJ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3779688890 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians
Tibb Healthcare AssociatesGroup PAC ID 5496174492, 2 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

245 Engle St
Suite 1
Englewood, NJ 07631-2466
Phone (201) 500-7126

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
70.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003539NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Jan 17, 2026 Accepting new patients
Tibb Healthcare Associates Pulmonary Disease CurrentSince Aug 14, 2020 Accepting new patients
Valley Physician Services PC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Summit Medical Group PA CurrentSince Jan 17, 2026 Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

245 Engle St
Ste 1
Englewood, NJ 07631
Phone (201) 399-2044

17-17 Route 208
Fair Lawn, NJ 07410
Phone (201) 345-7557

1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1811914856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY S",
            "address_2": "5N-50",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611138",
            "telephone_number": "347-293-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY S",
            "address_2": "5N-50",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611138",
            "telephone_number": "347-293-7648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17-17 Route 208",
            "address_purpose": "LOCATION",
            "city": "Fair Lawn",
            "state": "NJ",
            "postal_code": "074102820",
            "country_code": "US",
            "telephone_number": "973-777-7377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIBB",
        "first_name": "AMIT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "003539",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "003539",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA09506700",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "003539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.