Jennifer Ann Libutti, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25 003745 Issued in NY

Practice address

128 High Meadow Dr
Milford, PA 18337-4003

Phone

(646) 801-6810

Fax

(718) 764-1170

NPI assigned

Jan 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Jennifer Ann Gibbons Former name

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": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1962689703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 HIGH MEADOW DRIVE",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "18337",
            "telephone_number": "917-605-1226",
            "fax_number": "212-764-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 HIGH MEADOW DR",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183374003",
            "telephone_number": "646-801-6810",
            "fax_number": "718-764-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBUTTI",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "OM000319",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "25 003745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GIBBONS",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Lampo, LPC
• Lbo Associates LLC
• James Frederick Leighty Jr., PT DPT
• John Mario Lettieri III, RPH
• Fuhai Li, M.D.
• Lisa M. Haggerty, Optometrist
• Lauren Jean Lockwood, MS CCC-SLP
• Linda Patricia Longo-Lockspeiser, LCSW
• Debra Ann Longo, LPN
• Gabriela Lopez, LMSW

• Acupuncturist in Milford, PA
• Providers in Milford, PA by specialty
• Acupuncturist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.