MRS. KATHERINE E IBANEZ P.A.-C.
NPI 1023300423
Physician Assistant - Medical in New York, NY

Active since May 04, 2011PECOS Enrolled
177 FORT WASHINGTON AVE, ROOM 8-004, NEW YORK, NY 10032(212) 304-6920 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Katherine E Ibanez P.a.-c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATHERINE E IBANEZ P.A.-C. (NPI 1023300423) is an individual medical provider in New York, New York and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023300423
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KATHERINE E IBANEZCredential: P.A.-C.
Location Address177 FORT WASHINGTON AVE, ROOM 8-004New York, NY 10032
Mailing Address254 Grove St Apt 3Jersey City, NJ 07302-4631 · (609) 280-0852
Sole ProprietorNo
Enumeration DateMay 4, 2011
Last NPPES UpdateJune 6, 2018
NPI 1023300423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
177 FORT WASHINGTON AVE, New York, NY 10032

Other Names 1

Former Name (1)Katherine E Flaig P.a.-c.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Katherine E Ibanez P.a.-c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
Nurse Practitioner (Family)
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
Occupational Therapist
177 FORT WASHINGTON AVE, 8 GARDEN NORTH
NEW YORK, NY 10032
Occupational Therapist
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
Surgery (Surgical Critical Care)
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
Physician Assistant
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
177 FORT WASHINGTON AVE, INTERNAL MEDICINE RESIDENCY OFFICE, FLOOR 6, CENTER 12
NEW YORK, NY 10032
Physician Assistant
177 FORT WASHINGTON AVE
NEW YORK, NY 10032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Ibanez's NPI number?

The NPI number for Katherine Ibanez is 1023300423. It was assigned to this individual provider in the NPPES registry on May 4, 2011. The provider is also known as Katherine E Flaig P.A.-C..

Where is Katherine Ibanez located?

Katherine Ibanez practices at 177 Fort Washington Ave Room 8-004, New York, NY 10032. The listed phone number is (212) 304-6920.

What is Katherine Ibanez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Katherine Ibanez enrolled in Medicare?

Yes. Katherine Ibanez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Ibanez was last updated on June 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.