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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TERESA GIBBONS ANP
NPI 1417950502
Nurse Practitioner - Adult Health in Lake Success, NY

Active since May 23, 2005
410 LAKEVILLE RD, STE 311, LAKE SUCCESS, NY 11042(516) 358-2400(516) 358-5454 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Teresa Gibbons Anp NPPES

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

TERESA GIBBONS ANP (NPI 1417950502) is an individual adult health provider in Lake Success, New York, licensed in New York (303955) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1417950502
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTERESA GIBBONSCredential: ANP
Location Address410 LAKEVILLE RD, STE 311Lake Success, NY 11042-1103
Mailing Address410 Lakeville Rd, Ste 311Lake Success, NY 11042-1103 · (516) 358-2400 · Fax (516) 358-5454
Phone(516) 358-2400
Fax(516) 358-5454
Sole ProprietorNo
Enumeration DateMay 23, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1417950502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 303955
410 LAKEVILLE RD, Lake Success, NY 11042
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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.

DR. SHAUN DAVID RODGERS M.D.
Neurological Surgery
410 LAKEVILLE RD, SUITE 204
NEW HYDE PARK, NY 11042
Nassau County (516) 354-3401
FELICIA GLIKSMAN D.O.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
410 LAKEVILLE RD, SUITE 105
NEW HYDE PARK, NY 11042
Nassau County (516) 465-5255
ROBERT KATZ MD
Pediatrics
410 LAKEVILLE RD, SUITE 108
NEW HYDE PARK, NY 11042
Nassau County (516) 465-4377
RAMONA SEETA RAMDEO NP
Nurse Practitioner
410 LAKEVILLE RD, SUITE 107
NEW HYDE PARK, NY 11042
Nassau County (516) 465-5400
DR. LIBORIO CARMINE MUSACCHIA DO
Anesthesiology (Pediatric Anesthesiology)
410 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (631) 988-6733
HOPE HEMATOLOGY AND ONCOLOGY PLLC
Specialist
410 LAKEVILLE RD, 100
NEW HYDE PARK, NY 11042
Nassau County (516) 352-1540
RACHEL LOWY
Physician Assistant
410 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 352-1540
SHOABA JAIKISSOON FNP
Nurse Practitioner (Family)
410 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 465-4377

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 Teresa Gibbons's NPI number?

The NPI number for Teresa Gibbons is 1417950502. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Teresa Gibbons located?

Teresa Gibbons practices at 410 Lakeville Rd Ste 311, Lake Success, NY 11042. The listed phone number is (516) 358-2400.

What is Teresa Gibbons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Teresa Gibbons was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.