LIBBY KEEN BRUBAKER DO
NPI 1316441553
Family Medicine in New York, NY

Q: What is Libby Brubaker's NPI number?

The NPI number for Libby Brubaker is 1316441553. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Q: What is Libby Brubaker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Libby Brubaker was last updated on November 22, 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 March 21, 2018PECOS EnrolledAccepts Medicare Assignment

81 W 115TH ST, NEW YORK, NY 10026(212) 426-0088(212) 426-8367 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2023, Jan 21, 2022, Mar 21, 2018 (3 updates tracked since 2018).

On this page

About Libby Keen Brubaker Do NPPES

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

LIBBY KEEN BRUBAKER DO (NPI 1316441553) is an individual family medicine provider in New York, New York, licensed in New York (302950) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains 13 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1316441553

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLIBBY KEEN BRUBAKERCredential: DO

Location Address81 W 115TH STNew York, NY 10026-3138

Mailing Address1824 Madison Ave Fl 5New York, NY 10035-3832 · (212) 423-4500 · Fax (646) 770-8409

Phone(212) 426-0088

Fax(212) 426-8367

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 21, 2018

Last NPPES UpdateNovember 22, 20233 updates tracked since enumeration

NPPES CertifiedNovember 17, 2023

✔ NPI 1316441553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 302950

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

81 W 115TH ST, New York, NY 10026

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Secondary Practice Locations 13

Location 189-44 164th StJamaica, NY 11432-6103 · Phone (718) 523-2123 · Fax (718) 523-5833

Location 21167 Nostrand AveBrooklyn, NY 11225-5417 · Phone (718) 778-0198 · Fax (718) 221-8169

Location 31824 Madison Ave Fl 5New York, NY 10035-3832 · Phone (212) 423-4500 ext. 4715 · Fax (646) 770-8409

Location 4255 E Houston StNew York, NY 10002-1013 · Phone (212) 477-1120 · Fax (212) 477-8957

Location 5511 W 157TH STNew York, NY 10032-5058 · Phone (212) 781-7979 · Fax (212) 781-7963

Location 6350 Grand St Rm 240New York, NY 10002-4629 · Phone (212) 634-7550 ext. 7556

Location 7999 Blake AveBrooklyn, NY 11208-3535 · Phone (718) 277-8303 · Fax (718) 277-4795

Location 836-11 21st StLong Island City, NY 11106-4505 · Phone (718) 482-7772 · Fax (718) 482-9648

Location 9975 Westchester AveBronx, NY 10459-3204 · Phone (718) 320-4466 · Fax (718) 991-3829

Location 1094-98 Manhattan AvenueBrooklyn, NY 11206-2505 · Phone (718) 388-0390 · Fax (718) 486-5741

Location 114215 3rd Ave Fl 2Bronx, NY 10457-4501 · Phone (718) 294-5891 · Fax (718) 294-2468

Location 12504 W 158th St Fl 5New York, NY 10032-7202 · Phone (917) 521-3130 ext. 3130

Location 132581 Atlantic AveBrooklyn, NY 11207-2412 · Phone (718) 495-6700 · Fax (646) 988-2840

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Libby Keen Brubaker Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739410978

PECOS Enrollment IDI20210823001712

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

GERALDINE HERISSE MS, RD, CDN

Dietitian, Registered