HEATHER M RIBAUDO RPA-C
NPI 1023326634
Physician Assistant - Medical in Lindenhurst, NY

Q: What is Heather Ribaudo's NPI number?

The NPI number for Heather Ribaudo is 1023326634. It was assigned to this individual provider in the NPPES registry on September 16, 2010.

Q: What is Heather Ribaudo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heather Ribaudo was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 16, 2010PECOS Enrolled

290 SUNRISE HWY, LINDENHURST, NY 11757(631) 226-3600 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2017, Oct 21, 2016 (2 updates tracked since 2016).

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About Heather M Ribaudo Rpa-c NPPES

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

HEATHER M RIBAUDO RPA-C (NPI 1023326634) is an individual medical provider in Lindenhurst, New York, licensed in New York (014183) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023326634

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameHEATHER M RIBAUDOCredential: RPA-C

Location Address290 SUNRISE HWYLindenhurst, NY 11757-2520

Mailing Address290 Sunrise HwyLindenhurst, NY 11757-2520 · (631) 226-3600

Phone(631) 226-3600

Sole ProprietorNo

Enumeration DateSeptember 16, 2010

Last NPPES UpdateSeptember 11, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2023

✔ NPI 1023326634 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

License✔ Licensed in NY · 014183

290 SUNRISE HWY, Lindenhurst, NY 11757

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather M Ribaudo Rpa-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 5

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

DR. KEITH R HOERNING D.O.

Family Medicine