Active NPI
Joyce Tibbett, DO
- Family Medicine Physician
- Chittenango, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 274457
- Practice address
- 153 W Genesee St
Chittenango, NY 13037-1528 - Phone
- (315) 687-5100
- Fax
- (315) 687-0252
- NPI assigned
- Jun 13, 2014
- Last updated
- Jul 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 274457 | NY | Primary |
Addresses
Primary practice location
153 W Genesee St
Chittenango, NY 13037-1528
Mailing address
153 W Genesee St
Chittenango, NY 13037-1528
Phone (315) 687-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04208788 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
153 W Genesee St
Chittenango, NY 13037-1528
Phone (315) 687-5100
321 Genesee St
Oneida, NY 13421-2611
Phone (315) 363-6000
321 Genesee St
Oneida, NY 13421-2699
323 Genesee St
Oneida, NY 13421-2611
Phone (315) 361-2119
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oneida Health Systems, Inc. | Current | Accepting new patients | |
| Sun River Health Inc | Current | Accepting new patients | |
| Oneida Health Systems, Inc | Current | Accepting new patients |
Locations
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
153 W Genesee St
Chittenango, NY 13037
Phone (315) 687-5100
321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020
Interoperability endpoints
- jtibbett@ohc.medentdirect.com
- jtibbett@trivalleyfamilypractice.medentdirect.com
Organizations & group practices 3
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.
-
dba Oneida Healthcare Center
- General Acute Care Hospital
- Oneida, NY
- NPI 1962408203
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Skilled Nursing Facility
- Oneida, NY
- NPI 1528011632
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- Community Based Hospice Care Agency
- New Hartford, NY
- NPI 1063430577
-
dba Oneida Healthcare Center
- General Acute Care Hospital
- Oneida, NY
- NPI 1962408203
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1881008290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 W GENESEE ST",
"city": "CHITTENANGO",
"state": "NY",
"postal_code": "130371528",
"telephone_number": "315-687-5100",
"fax_number": "315-687-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 W GENESEE ST",
"city": "CHITTENANGO",
"state": "NY",
"postal_code": "130371528",
"telephone_number": "315-687-5100",
"fax_number": "315-687-0252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIBBETT",
"first_name": "JOYCE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-13",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "274457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04208788",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chittenango, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.