Chikodiri Gibson, DNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F348786-01 Issued in NY

Practice address

30 Stone Dr # Orangen
West Orange, NJ 07052-1340

Phone

(908) 906-6472

NPI assigned

Nov 10, 2021

Sex

Female

Sole proprietor

No

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

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lagrangeville Medical PCGroup PAC ID 8527440148, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lagrangeville Medical PC

  • Internal Medicine Physician
  • Franklin Square, NY
  • NPI 1861153322
  Medicare reassignment Care Compare group NPD
• Beacon Health Group PC

  • Internal Medicine Physician
  • Bensalem, PA
  • NPI 1720972896

  NY

  Medicare reassignment

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1952067282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 STONE DR # ORANGEN",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521340",
            "telephone_number": "908-906-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 STONE DR # ORANGEN",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521340",
            "telephone_number": "908-906-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "CHIKODIRI",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F348786-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan B Gertner, PH.D.
• Jeanine-Marie Gervasio, PT
• GH Nutrition Services LLC (Good Health)
• Ghanshyam Lalla & Pushpa Lalla PC
• Jessica Giaramita, DO
• Tracy Baptiste Gibson, P.T.
• Kerri Gieger, PA
• Matthew A Giglio, RN
• Kulveen Gill, MD
• Arthur M Gilman, MD

• Family Nurse Practitioner in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.

Verify at the official NPI Registry.